CMS Price Transparency Data

Blood test, liver function panel

Facility: Northwest Health-La Porte

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $8
  • Cash Discount Price: $4
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Northwest Health-La Porte is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 0.98x the Medicare baseline. Located in 1007 Lincolnway, La Porte, IN.
Cash / Self-Pay
$4

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$8.17

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $8.17 (100%)
Cash / Self-Pay: $4 (49%)
Insurance Median: $8 (98%)
Cash: $4 (49% of Medicare)
Ins. Median: $8 (98% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $8.17 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Lutheran $1 - $144 12%
Alpha Baking $2 - $241 24%
Lutheran Preferred Medpartners $2 - $224 24%
Php $2 - $221 24%
Self Pay $2 - $289 24%
Blue Cross Blue Shield $3 - $13 37%
Cigna $3 - $397 37%
County Of Laporte $3 - $374 37%
Encore $3 - $481 37%
Php Freedom Network $3 - $322 37%
Prime Health Services $3 - $401 37%
Prime Health Services Auto $3 - $401 37%
UnitedHealthcare $3 - $377 37%
Aetna $4 - $442 49%
Chandler Group $4 - $481 49%
Community Health Alliance $4 - $465 49%
Hfn Workers Compensation $4 - $481 49%
Humana $4 - $8 49%
Ihn $4 - $428 49%
Lutheran Network $4 - $471 49%
Medicare (plans) $4 - $8 49%
Multiplan $4 - $481 49%
Phcs $4 - $481 49%
Sagamore Health Network $4 - $471 49%
Tricare $4 - $8 49%
Indiana Dept Of Correction $5 - $8 61%
Managed Health Services $5 - $16 61%
Node Champva $5 - $8 61%
Node Devoted Health Mcr Adv $5 - $8 61%
Node Hospice Non Par Agree $5 - $8 61%
Node Pphp Mcr Adv $5 - $9 61%
Node Va $5 - $8 61%
Va Choice Program $5 - $8 61%
Us Department Of Labor $6 - $10 73%
Caresource $8 98%
Medicaid / KanCare $8 98%
Mhs $8 98%
Prime Health In Work Comp $8 - $15 98%
In Wc $9 - $16 110%
Encore Kba Epo $11 - $20 135%
Magnacare Ma $11 - $20 135%
Encore Kba Ppo $14 - $25 171%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1007 Lincolnway, La Porte, IN 46350
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals