CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Northwest Health-La Porte

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $350
  • Cash Discount Price: $200
  • vs. Medicare Baseline: 1.44x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Northwest Health-La Porte is $350. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $200. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.44x the Medicare baseline. Located in 1007 Lincolnway, La Porte, IN.
Cash / Self-Pay
$200

Average discount available for prompt cash payment at this facility.

Insurance Median
$350

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $200 (82%)
Insurance Median: $350 (144%)
Cash: $200 (82% of Medicare)
Ins. Median: $350 (144% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 $63 - $833 26%
Self Pay $77 - $1,666 32%
Php $96 - $1,274 39%
Lutheran Preferred Medpartners $98 - $1,290 40%
Alpha Baking $105 - $1,388 43%
Php Freedom Network $141 - $1,857 58%
Encore $152 - $2,777 62%
County Of Laporte $163 - $2,160 67%
Cigna $174 - $2,292 71%
Prime Health Services $175 - $2,314 72%
Prime Health Services Auto $175 - $2,314 72%
Aetna $181 - $2,551 74%
Ihn $187 - $2,468 77%
Community Health Alliance $203 - $2,684 83%
Lutheran Network $206 - $2,715 85%
Sagamore Health Network $206 - $2,715 85%
Chandler Group $210 - $2,777 86%
Hfn Workers Compensation $210 - $2,777 86%
Multiplan $210 - $2,777 86%
Phcs $210 - $2,777 86%
UnitedHealthcare $224 - $1,661 92%
Tricare $240 98%
Blue Cross Blue Shield $249 - $1,029 102%
Humana $249 - $350 102%
Medicare (plans) $249 102%
Node Champva $252 103%
Node Hospice Non Par Agree $253 104%
Node Va $253 104%
Va Choice Program $253 104%
Node Devoted Health Mcr Adv $254 104%
Managed Health Services $261 - $506 107%
Indiana Dept Of Correction $263 108%
Node Pphp Mcr Adv $266 109%
Caresource $270 - $350 111%
One Call $275 113%
Us Department Of Labor $316 130%
Medicaid / KanCare $350 144%
Mhs $350 144%
Prime Health In Work Comp $455 187%
In Wc $506 208%
Encore Kba Epo $607 249%
Magnacare Ma $619 254%
Encore Kba Ppo $759 311%

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