CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Northwest Health-La Porte

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $172
  • Cash Discount Price: $153
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Northwest Health-La Porte is $172. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $153. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.10x the Medicare baseline. Located in 1007 Lincolnway, La Porte, IN.
Cash / Self-Pay
$153

Average discount available for prompt cash payment at this facility.

Insurance Median
$172

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$156.98

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $156.98 (100%)
Cash / Self-Pay: $153 (97%)
Insurance Median: $172 (110%)
Cash: $153 (97% of Medicare)
Ins. Median: $172 (110% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $156.98 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 $43 - $180 27%
Self Pay $53 - $360 34%
Php $66 - $275 42%
Lutheran Preferred Medpartners $67 - $279 43%
Alpha Baking $72 - $300 46%
UnitedHealthcare $90 - $469 57%
Tricare $95 61%
Php Freedom Network $96 - $401 61%
Node Champva $100 64%
Aetna $101 - $551 64%
Blue Cross Blue Shield $101 - $327 64%
Humana $101 - $327 64%
Medicare (plans) $101 64%
Node Hospice Non Par Agree $102 65%
Node Va $102 65%
Va Choice Program $102 65%
Node Devoted Health Mcr Adv $103 66%
Encore $104 - $600 66%
Indiana Dept Of Correction $106 68%
Managed Health Services $106 - $327 68%
Node Pphp Mcr Adv $107 68%
County Of Laporte $112 - $466 71%
Cigna $119 - $495 76%
Prime Health Services $120 - $500 76%
Prime Health Services Auto $120 - $500 76%
Ihn $128 - $533 82%
Community Health Alliance $139 - $580 89%
Lutheran Network $140 - $586 89%
Sagamore Health Network $140 - $586 89%
Chandler Group $144 - $600 92%
Hfn Workers Compensation $144 - $600 92%
Multiplan $144 - $600 92%
Phcs $144 - $600 92%
One Call $147 94%
Breast And Cervical Cancer Program $160 102%
Prime Health In Work Comp $184 117%
Us Department Of Labor $199 - $249 127%
In Wc $204 130%
Encore Kba Epo $245 156%
Magnacare Ma $250 159%
Caresource $252 - $327 161%
Encore Kba Ppo $307 196%
Medicaid / KanCare $327 208%
Mhs $327 208%

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