CMS Price Transparency Data

Blood test, vitamin B12

Facility: Northwest Health-La Porte

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $15
  • Cash Discount Price: $7
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Northwest Health-La Porte is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 0.99x the Medicare baseline. Located in 1007 Lincolnway, La Porte, IN.
Cash / Self-Pay
$7

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$15.08

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $15.08 (100%)
Cash / Self-Pay: $7 (46%)
Insurance Median: $15 (99%)
Cash: $7 (46% of Medicare)
Ins. Median: $15 (99% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $15.08 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 $2 - $52 13%
Php $3 - $80 20%
Self Pay $3 - $104 20%
Alpha Baking $4 - $87 27%
Lutheran Preferred Medpartners $4 - $81 27%
Encore $5 - $174 33%
Php Freedom Network $5 - $116 33%
Cigna $6 - $143 40%
County Of Laporte $6 - $135 40%
Prime Health Services $6 - $145 40%
Prime Health Services Auto $6 - $145 40%
UnitedHealthcare $6 - $136 40%
Aetna $7 - $160 46%
Blue Cross Blue Shield $7 - $24 46%
Community Health Alliance $7 - $168 46%
Ihn $7 - $154 46%
Lutheran Network $7 - $170 46%
Sagamore Health Network $7 - $170 46%
Tricare $7 - $14 46%
Chandler Group $8 - $174 53%
Hfn Workers Compensation $8 - $174 53%
Humana $8 - $15 53%
Medicare (plans) $8 - $15 53%
Multiplan $8 - $174 53%
Node Champva $8 - $15 53%
Node Devoted Health Mcr Adv $8 - $15 53%
Node Hospice Non Par Agree $8 - $15 53%
Node Va $8 - $15 53%
Phcs $8 - $174 53%
Va Choice Program $8 - $15 53%
Indiana Dept Of Correction $9 - $16 60%
Managed Health Services $9 - $30 60%
Node Pphp Mcr Adv $9 - $16 60%
Us Department Of Labor $10 - $19 66%
Caresource $15 99%
Medicaid / KanCare $15 99%
Mhs $15 99%
Prime Health In Work Comp $15 - $27 99%
In Wc $17 - $30 113%
Encore Kba Epo $20 - $36 133%
Magnacare Ma $21 - $37 139%
Encore Kba Ppo $25 - $45 166%

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