CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Northwest Health-La Porte

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $1,588
  • Cash Discount Price: $762
  • vs. Medicare Baseline: 0.48x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Northwest Health-La Porte is $1,588. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $762. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.48x the Medicare baseline. Located in 1007 Lincolnway, La Porte, IN.
Cash / Self-Pay
$762

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,588

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$3,342.87

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3,342.87 (100%)
Cash / Self-Pay: $762 (23%)
Insurance Median: $1,588 (48%)
Cash: $762 (23% of Medicare)
Ins. Median: $1,588 (48% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $3,342.87 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 $381 - $1,702 11%
Self Pay $466 - $17,218 14%
One Call $474 14%
Php $583 - $21,554 17%
Lutheran Preferred Medpartners $590 - $21,809 18%
Alpha Baking $635 - $23,479 19%
Php Freedom Network $849 - $31,399 25%
Encore $917 - $46,958 27%
County Of Laporte $988 - $36,523 30%
UnitedHealthcare $1,033 - $36,732 31%
Cigna $1,048 - $38,766 31%
Prime Health Services $1,058 - $39,132 32%
Prime Health Services Auto $1,058 - $39,132 32%
Aetna $1,096 - $43,149 33%
Ihn $1,129 - $41,740 34%
Community Health Alliance $1,228 - $45,393 37%
Lutheran Network $1,242 - $45,915 37%
Sagamore Health Network $1,242 - $45,915 37%
Chandler Group $1,270 - $46,958 38%
Hfn Workers Compensation $1,270 - $46,958 38%
Multiplan $1,270 - $46,958 38%
Phcs $1,270 - $46,958 38%
Caresource $1,749 - $2,274 52%
Blue Cross Blue Shield $2,274 - $14,109 68%
Humana $2,274 - $3,414 68%
Managed Health Services $2,274 - $6,938 68%
Medicaid / KanCare $2,274 68%
Mhs $2,274 68%
Medicare (plans) $3,414 102%
Node Hospice Non Par Agree $3,469 104%
Node Va $3,469 104%
Va Choice Program $3,469 104%
Node Devoted Health Mcr Adv $3,482 104%
Indiana Dept Of Correction $3,608 108%
Node Pphp Mcr Adv $3,643 109%
Us Department Of Labor $4,337 130%
Tricare $5,963 178%
Prime Health In Work Comp $6,245 187%
Node Champva $6,276 188%
In Wc $6,938 208%
Encore Kba Epo $8,326 249%
Magnacare Ma $8,493 254%
Encore Kba Ppo $10,408 311%

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