CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Northwest Health-La Porte

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $219
  • Cash Discount Price: $165
  • vs. Medicare Baseline: 1.73x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Northwest Health-La Porte is $219. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $165. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.73x the Medicare baseline. Located in 1007 Lincolnway, La Porte, IN.
Cash / Self-Pay
$165

Average discount available for prompt cash payment at this facility.

Insurance Median
$219

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$126.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $126.25 (100%)
Cash / Self-Pay: $165 (131%)
Insurance Median: $219 (173%)
Cash: $165 (131% of Medicare)
Ins. Median: $219 (173% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $126.25 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 $35 - $138 28%
Self Pay $42 - $276 33%
Php $53 - $211 42%
Lutheran Preferred Medpartners $54 - $214 43%
Alpha Baking $58 - $230 46%
UnitedHealthcare $74 - $360 59%
Php Freedom Network $77 - $308 61%
Tricare $78 62%
Node Champva $82 65%
Aetna $83 - $423 66%
Blue Cross Blue Shield $83 - $270 66%
Humana $83 - $270 66%
Medicare (plans) $83 66%
Encore $84 - $460 67%
Node Devoted Health Mcr Adv $84 67%
Node Hospice Non Par Agree $84 67%
Node Va $84 67%
Va Choice Program $84 67%
Managed Health Services $87 - $270 69%
Indiana Dept Of Correction $88 70%
Node Pphp Mcr Adv $89 70%
County Of Laporte $90 - $358 71%
Cigna $96 - $380 76%
Prime Health Services $96 - $384 76%
Prime Health Services Auto $96 - $384 76%
Ihn $103 - $409 82%
Community Health Alliance $112 - $445 89%
Lutheran Network $113 - $450 90%
Sagamore Health Network $113 - $450 90%
Chandler Group $116 - $460 92%
Hfn Workers Compensation $116 - $460 92%
Multiplan $116 - $460 92%
Phcs $116 - $460 92%
One Call $118 93%
Breast And Cervical Cancer Program $128 101%
Prime Health In Work Comp $152 120%
Us Department Of Labor $161 - $201 128%
In Wc $169 134%
Encore Kba Epo $203 161%
Magnacare Ma $207 164%
Caresource $208 - $270 165%
Encore Kba Ppo $253 200%
Medicaid / KanCare $270 214%
Mhs $270 214%

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