CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Northwest Health-La Porte

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $455
  • Cash Discount Price: $699
  • vs. Medicare Baseline: 1.87x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Northwest Health-La Porte is $455. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $699. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.87x the Medicare baseline. Located in 1007 Lincolnway, La Porte, IN.
Cash / Self-Pay
$699

Average discount available for prompt cash payment at this facility.

Insurance Median
$455

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $699 (287%)
Insurance Median: $455 (187%)
Cash: $699 (287% of Medicare)
Ins. Median: $455 (187% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 $62 - $1,041 25%
Self Pay $76 - $2,083 31%
Php $95 - $1,593 39%
Lutheran Preferred Medpartners $96 - $1,612 39%
Alpha Baking $104 - $1,736 43%
Php Freedom Network $139 - $2,321 57%
Encore $150 - $3,471 62%
County Of Laporte $161 - $2,700 66%
Cigna $171 - $2,866 70%
Prime Health Services $173 - $2,893 71%
Prime Health Services Auto $173 - $2,893 71%
Aetna $179 - $3,190 73%
Ihn $184 - $3,085 75%
Community Health Alliance $201 - $3,355 82%
Lutheran Network $203 - $3,394 83%
Sagamore Health Network $203 - $3,394 83%
Chandler Group $208 - $3,471 85%
Hfn Workers Compensation $208 - $3,471 85%
Multiplan $208 - $3,471 85%
Phcs $208 - $3,471 85%
UnitedHealthcare $224 - $2,355 92%
Tricare $240 98%
Blue Cross Blue Shield $249 - $1,029 102%
Humana $249 - $464 102%
Medicare (plans) $249 102%
Node Champva $252 103%
Node Hospice Non Par Agree $253 104%
Node Va $253 104%
Va Choice Program $253 104%
Node Devoted Health Mcr Adv $254 104%
Managed Health Services $261 - $506 107%
Indiana Dept Of Correction $263 108%
Node Pphp Mcr Adv $266 109%
Us Department Of Labor $316 130%
Caresource $357 - $464 146%
Prime Health In Work Comp $455 187%
Medicaid / KanCare $464 190%
Mhs $464 190%
One Call $500 205%
In Wc $506 208%
Encore Kba Epo $607 249%
Magnacare Ma $619 254%
Encore Kba Ppo $759 311%

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