CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Northwest Health-La Porte

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $350
  • Cash Discount Price: $168
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Northwest Health-La Porte is $350. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $168. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.98x the Medicare baseline. Located in 1007 Lincolnway, La Porte, IN.
Cash / Self-Pay
$168

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
$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $168 (47%)
Insurance Median: $350 (98%)
Cash: $168 (47% of Medicare)
Ins. Median: $350 (98% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 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 $52 - $937 15%
Self Pay $64 - $1,874 18%
Php $80 - $1,434 22%
Lutheran Preferred Medpartners $81 - $1,451 23%
Alpha Baking $87 - $1,562 24%
Php Freedom Network $116 - $2,089 33%
Encore $125 - $3,124 35%
County Of Laporte $135 - $2,430 38%
Cigna $143 - $2,579 40%
Prime Health Services $145 - $2,603 41%
Prime Health Services Auto $145 - $2,603 41%
Aetna $150 - $2,871 42%
Ihn $154 - $2,777 43%
Community Health Alliance $168 - $3,020 47%
Lutheran Network $170 - $3,054 48%
Sagamore Health Network $170 - $3,054 48%
Chandler Group $174 - $3,124 49%
Hfn Workers Compensation $174 - $3,124 49%
Multiplan $174 - $3,124 49%
Phcs $174 - $3,124 49%
UnitedHealthcare $193 - $1,661 54%
One Call $350 98%
Tricare $351 98%
Blue Cross Blue Shield $364 - $1,504 102%
Humana $364 - $632 102%
Medicare (plans) $364 102%
Node Champva $369 104%
Node Hospice Non Par Agree $370 104%
Node Va $370 104%
Va Choice Program $370 104%
Node Devoted Health Mcr Adv $371 104%
Managed Health Services $382 - $740 107%
Indiana Dept Of Correction $385 108%
Node Pphp Mcr Adv $388 109%
Us Department Of Labor $462 130%
Caresource $487 - $632 137%
Medicaid / KanCare $632 177%
Mhs $632 177%
Prime Health In Work Comp $666 187%
In Wc $740 208%
Encore Kba Epo $888 249%
Magnacare Ma $906 254%
Encore Kba Ppo $1,110 311%

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