CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Northwest Health-La Porte

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $1,331
  • Cash Discount Price: $700
  • vs. Medicare Baseline: 1.52x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Northwest Health-La Porte is $1,331. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $700. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.52x the Medicare baseline. Located in 1007 Lincolnway, La Porte, IN.
Cash / Self-Pay
$700

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,331

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$877.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $877.34 (100%)
Cash / Self-Pay: $700 (80%)
Insurance Median: $1,331 (152%)
Cash: $700 (80% of Medicare)
Ins. Median: $1,331 (152% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $877.34 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
Lutheran $89 - $1,885 10%
Self Pay $109 - $3,769 12%
Php $136 - $2,883 16%
Lutheran Preferred Medpartners $138 - $2,918 16%
Alpha Baking $148 - $3,141 17%
Php Freedom Network $198 - $4,201 23%
Encore $214 - $6,282 24%
County Of Laporte $230 - $4,886 26%
UnitedHealthcare $241 - $4,914 27%
Cigna $244 - $5,186 28%
Prime Health Services $247 - $5,235 28%
Prime Health Services Auto $247 - $5,235 28%
Aetna $256 - $5,772 29%
Ihn $263 - $5,584 30%
Community Health Alliance $286 - $6,073 33%
Lutheran Network $290 - $6,142 33%
Sagamore Health Network $290 - $6,142 33%
Chandler Group $296 - $6,282 34%
Hfn Workers Compensation $296 - $6,282 34%
Multiplan $296 - $6,282 34%
Phcs $296 - $6,282 34%
One Call $627 71%
Tricare $863 98%
Blue Cross Blue Shield $896 - $3,703 102%
Humana $896 - $3,560 102%
Medicare (plans) $896 102%
Node Champva $909 104%
Node Hospice Non Par Agree $910 104%
Node Va $910 104%
Va Choice Program $910 104%
Node Devoted Health Mcr Adv $914 104%
Managed Health Services $941 - $3,560 107%
Indiana Dept Of Correction $947 108%
Node Pphp Mcr Adv $956 109%
Us Department Of Labor $1,138 130%
Prime Health In Work Comp $1,639 187%
In Wc $1,821 208%
Encore Kba Epo $2,185 249%
Magnacare Ma $2,229 254%
Encore Kba Ppo $2,732 311%
Caresource $2,738 - $3,560 312%
Medicaid / KanCare $3,560 406%
Mhs $3,560 406%

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