CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Northwest Health-La Porte

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $208
  • Cash Discount Price: $102
  • vs. Medicare Baseline: 0.85x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Northwest Health-La Porte is $208. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $102. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.85x the Medicare baseline. Located in 1007 Lincolnway, La Porte, IN.
Cash / Self-Pay
$102

Average discount available for prompt cash payment at this facility.

Insurance Median
$208

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: $102 (42%)
Insurance Median: $208 (85%)
Cash: $102 (42% of Medicare)
Ins. Median: $208 (85% 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 $31 - $1,041 13%
Self Pay $38 - $2,083 16%
Lutheran Preferred Medpartners $48 - $1,612 20%
Php $48 - $1,593 20%
Alpha Baking $52 - $1,736 21%
Php Freedom Network $69 - $2,321 28%
Encore $75 - $3,471 31%
County Of Laporte $81 - $2,700 33%
Cigna $86 - $2,866 35%
Prime Health Services $86 - $2,893 35%
Prime Health Services Auto $86 - $2,893 35%
Aetna $90 - $3,190 37%
Ihn $92 - $3,085 38%
Community Health Alliance $100 - $3,355 41%
Lutheran Network $101 - $3,394 41%
Sagamore Health Network $101 - $3,394 41%
Chandler Group $104 - $3,471 43%
Hfn Workers Compensation $104 - $3,471 43%
Multiplan $104 - $3,471 43%
Phcs $104 - $3,471 43%
UnitedHealthcare $115 - $2,355 47%
Tricare $240 98%
Blue Cross Blue Shield $249 - $1,029 102%
Humana $249 - $505 102%
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 $388 - $505 159%
Prime Health In Work Comp $455 187%
One Call $500 205%
Medicaid / KanCare $505 207%
Mhs $505 207%
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