CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Northwest Health-La Porte

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $222
  • Cash Discount Price: $555
  • vs. Medicare Baseline: 2.08x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Northwest Health-La Porte is $222. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $555. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.08x the Medicare baseline. Located in 1007 Lincolnway, La Porte, IN.
Cash / Self-Pay
$555

Average discount available for prompt cash payment at this facility.

Insurance Median
$222

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $555 (520%)
Insurance Median: $222 (208%)
Cash: $555 (520% of Medicare)
Ins. Median: $222 (208% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 208% of the Medicare baseline (a markup of 108%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $46 - $833 43%
Self Pay $56 - $1,666 52%
Php $70 - $1,274 66%
Lutheran Preferred Medpartners $71 - $1,290 66%
Alpha Baking $76 - $1,388 71%
UnitedHealthcare $98 - $1,661 92%
Php Freedom Network $102 - $1,857 95%
Tricare $105 98%
Aetna $109 - $2,551 102%
Blue Cross Blue Shield $109 - $451 102%
Humana $109 - $381 102%
Medicare (plans) $109 102%
Encore $110 - $2,777 103%
Node Champva $111 104%
Node Devoted Health Mcr Adv $111 104%
Node Hospice Non Par Agree $111 104%
Node Va $111 104%
Va Choice Program $111 104%
Indiana Dept Of Correction $115 108%
Managed Health Services $115 - $381 108%
Node Pphp Mcr Adv $116 109%
County Of Laporte $118 - $2,160 110%
Cigna $125 - $2,292 117%
Prime Health Services $127 - $2,314 119%
Prime Health Services Auto $127 - $2,314 119%
Ihn $135 - $2,468 126%
Us Department Of Labor $139 130%
Community Health Alliance $147 - $2,684 138%
Lutheran Network $149 - $2,715 140%
Sagamore Health Network $149 - $2,715 140%
Chandler Group $152 - $2,777 142%
Hfn Workers Compensation $152 - $2,777 142%
Multiplan $152 - $2,777 142%
Phcs $152 - $2,777 142%
Prime Health In Work Comp $200 187%
In Wc $222 208%
Encore Kba Epo $266 249%
Magnacare Ma $271 254%
One Call $275 257%
Caresource $293 - $381 274%
Encore Kba Ppo $333 312%
Medicaid / KanCare $381 357%
Mhs $381 357%

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