CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Northwest Health-La Porte

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $3
  • Cash Discount Price: $5
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Northwest Health-La Porte is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 0.95x the Medicare baseline. Located in 1007 Lincolnway, La Porte, IN.
Cash / Self-Pay
$5

Average discount available for prompt cash payment at this facility.

Insurance Median
$3

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$3.17

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3.17 (100%)
Cash / Self-Pay: $5 (158%)
Insurance Median: $3 (95%)
Cash: $5 (158% of Medicare)
Ins. Median: $3 (95% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $3.17 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
Aetna $1 - $140 32%
Chandler Group $1 - $153 32%
Cigna $1 - $126 32%
Community Health Alliance $1 - $148 32%
County Of Laporte $1 - $119 32%
Encore $1 - $153 32%
Hfn Workers Compensation $1 - $153 32%
Ihn $1 - $136 32%
Lutheran Network $1 - $149 32%
Lutheran Preferred Medpartners $1 - $71 32%
Multiplan $1 - $153 32%
Phcs $1 - $153 32%
Php $1 - $70 32%
Php Freedom Network $1 - $102 32%
Prime Health Services $1 - $127 32%
Prime Health Services Auto $1 - $127 32%
Sagamore Health Network $1 - $149 32%
Self Pay $1 - $92 32%
Tricare $1 - $3 32%
UnitedHealthcare $1 - $119 32%
Alpha Baking $2 - $76 63%
Blue Cross Blue Shield $2 - $5 63%
Humana $2 - $3 63%
Indiana Dept Of Correction $2 - $3 63%
Managed Health Services $2 - $6 63%
Medicare (plans) $2 - $3 63%
Node Champva $2 - $3 63%
Node Devoted Health Mcr Adv $2 - $3 63%
Node Hospice Non Par Agree $2 - $3 63%
Node Pphp Mcr Adv $2 - $3 63%
Node Va $2 - $3 63%
Us Department Of Labor $2 - $4 63%
Va Choice Program $2 - $3 63%
Caresource $3 95%
In Wc $3 - $6 95%
Lutheran $3 - $46 95%
Medicaid / KanCare $3 95%
Mhs $3 95%
Prime Health In Work Comp $3 - $6 95%
Encore Kba Epo $4 - $8 126%
Magnacare Ma $4 - $8 126%
Encore Kba Ppo $5 - $10 158%

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