CMS Price Transparency Data

Family therapy session

Facility: Northwest Health-La Porte

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $194
  • Cash Discount Price: $125
  • vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Northwest Health-La Porte is $194. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $125. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.07x the Medicare baseline. Located in 1007 Lincolnway, La Porte, IN.
Cash / Self-Pay
$125

Average discount available for prompt cash payment at this facility.

Insurance Median
$194

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)
Cash / Self-Pay: $125 (69%)
Insurance Median: $194 (107%)
Cash: $125 (69% of Medicare)
Ins. Median: $194 (107% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $181.34 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
Caresource $61 - $189 34%
Lutheran $77 42%
Blue Cross Blue Shield $80 - $765 44%
Humana $80 - $189 44%
Managed Health Services $80 - $376 44%
Medicaid / KanCare $80 - $189 44%
Mhs $80 - $189 44%
UnitedHealthcare $80 - $202 44%
Self Pay $95 - $155 52%
One Call $102 56%
Php $119 66%
Lutheran Preferred Medpartners $120 66%
Alpha Baking $129 71%
Php Freedom Network $173 95%
Tricare $178 98%
Aetna $185 - $237 102%
Medicare (plans) $185 102%
Encore $187 - $339 103%
Node Champva $188 104%
Node Hospice Non Par Agree $188 104%
Node Va $188 104%
Va Choice Program $188 104%
Node Devoted Health Mcr Adv $189 104%
Indiana Dept Of Correction $196 108%
Node Pphp Mcr Adv $198 109%
County Of Laporte $201 111%
Prime Health Services $215 119%
Prime Health Services Auto $215 119%
Ihn $230 127%
Us Department Of Labor $235 130%
Community Health Alliance $250 138%
Lutheran Network $253 - $376 140%
Sagamore Health Network $253 140%
Chandler Group $258 142%
Hfn Workers Compensation $258 142%
Multiplan $258 142%
Phcs $258 142%
Prime Health In Work Comp $339 187%
In Wc $376 207%
Encore Kba Epo $452 249%
Magnacare Ma $461 254%
Encore Kba Ppo $565 312%

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