CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Northwest Health-La Porte

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $96
  • Cash Discount Price: $50
  • vs. Medicare Baseline: 0.90x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Northwest Health-La Porte is $96. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.90x the Medicare baseline. Located in 1007 Lincolnway, La Porte, IN.
Cash / Self-Pay
$50

Average discount available for prompt cash payment at this facility.

Insurance Median
$96

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $50 (47%)
Insurance Median: $96 (90%)
Cash: $50 (47% of Medicare)
Ins. Median: $96 (90% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 $22 - $429 21%
Self Pay $26 - $858 24%
Lutheran Preferred Medpartners $33 - $664 31%
Php $33 - $656 31%
Alpha Baking $36 - $715 34%
Php Freedom Network $48 - $956 45%
Encore $52 - $1,430 49%
County Of Laporte $56 - $1,112 52%
Cigna $59 - $1,180 55%
UnitedHealthcare $59 - $1,118 55%
Prime Health Services $60 - $1,191 56%
Prime Health Services Auto $60 - $1,191 56%
Aetna $62 - $1,314 58%
Ihn $64 - $1,271 60%
Community Health Alliance $70 - $1,382 66%
Lutheran Network $70 - $1,398 66%
Sagamore Health Network $70 - $1,398 66%
Chandler Group $72 - $1,430 67%
Hfn Workers Compensation $72 - $1,430 67%
Multiplan $72 - $1,430 67%
Phcs $72 - $1,430 67%
One Call $81 76%
Tricare $105 98%
Blue Cross Blue Shield $109 - $451 102%
Humana $109 - $216 102%
Medicare (plans) $109 102%
Node Champva $111 104%
Node Devoted Health Mcr Adv $111 104%
Node Hospice Non Par Agree $111 104%
Node Va $111 104%
Va Choice Program $111 104%
Indiana Dept Of Correction $115 108%
Managed Health Services $115 - $222 108%
Node Pphp Mcr Adv $116 109%
Us Department Of Labor $139 130%
Caresource $166 - $216 155%
Prime Health In Work Comp $200 187%
Medicaid / KanCare $216 202%
Mhs $216 202%
In Wc $222 208%
Encore Kba Epo $266 249%
Magnacare Ma $271 254%
Encore Kba Ppo $333 312%

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