CMS Price Transparency Data

C-section delivery (full package)

Facility: Northwest Health-La Porte

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59510
Insurance Median: $5,247
Cash Discount Price: $2,848
vs. Medicare Baseline: 2.12x Medicare

The contracted insurance negotiated median rate for a C-section delivery (full package) at Northwest Health-La Porte is $5,247. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,848. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 2.12x the Medicare baseline. Located in 1007 Lincolnway, La Porte, IN.

Cash / Self-Pay

$2,848

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,247

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$2,473.27

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $2,473.27 (100%)

Cash / Self-Pay: $2,848 (115%)

Insurance Median: $5,247 (212%)

Cash: $2,848 (115% of Medicare)

Ins. Median: $5,247 (212% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $2,473.27 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 212% of the Medicare baseline (a markup of 112%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

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

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$1,555 - $6,182	63%
Lutheran	$1,615 - $2,018	65%
Self Pay	$1,973 - $4,036	80%
One Call	$2,201	89%
Php	$2,470 - $3,088	100%
Lutheran Preferred Medpartners	$2,500 - $3,125	101%
Alpha Baking	$2,691 - $3,364	109%
Php Freedom Network	$3,599 - $4,498	146%
Encore	$3,887 - $6,728	157%
County Of Laporte	$4,186 - $5,232	169%
UnitedHealthcare	$4,377 - $5,472	177%
Cigna	$4,443 - $5,554	180%
Prime Health Services	$4,485 - $5,606	181%
Prime Health Services Auto	$4,485 - $5,606	181%
Ihn	$4,784 - $5,980	193%
Community Health Alliance	$5,203 - $6,503	210%
Lutheran Network	$5,262 - $6,578	213%
Sagamore Health Network	$5,262 - $6,578	213%
Chandler Group	$5,382 - $6,728	218%
Hfn Workers Compensation	$5,382 - $6,728	218%
Multiplan	$5,382 - $6,728	218%
Phcs	$5,382 - $6,728	218%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,848.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 59510.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Northwest Health-La Porte is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 59510.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.