CMS Price Transparency Data

X-ray, foot

Facility: Northwest Health-La Porte

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $46
  • Cash Discount Price: $19
  • vs. Medicare Baseline: 0.52x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Northwest Health-La Porte is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.52x the Medicare baseline. Located in 1007 Lincolnway, La Porte, IN.
Cash / Self-Pay
$19

Average discount available for prompt cash payment at this facility.

Insurance Median
$46

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $19 (21%)
Insurance Median: $46 (52%)
Cash: $19 (21% of Medicare)
Ins. Median: $46 (52% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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 $6 - $127 7%
Self Pay $8 - $254 9%
Alpha Baking $10 - $212 11%
Lutheran Preferred Medpartners $10 - $197 11%
Php $10 - $194 11%
Php Freedom Network $14 - $283 16%
Encore $15 - $424 17%
County Of Laporte $16 - $329 18%
Cigna $17 - $350 19%
Prime Health Services $17 - $353 19%
Prime Health Services Auto $17 - $353 19%
UnitedHealthcare $17 - $331 19%
Aetna $18 - $389 20%
Ihn $18 - $376 20%
Community Health Alliance $20 - $409 22%
Lutheran Network $20 - $414 22%
Sagamore Health Network $20 - $414 22%
Chandler Group $21 - $424 24%
Hfn Workers Compensation $21 - $424 24%
Multiplan $21 - $424 24%
Phcs $21 - $424 24%
One Call $32 36%
Caresource $49 - $63 55%
Blue Cross Blue Shield $63 - $375 71%
Humana $63 - $91 71%
Managed Health Services $63 - $185 71%
Medicaid / KanCare $63 71%
Mhs $63 71%
Tricare $87 98%
Medicare (plans) $91 102%
Node Champva $92 103%
Node Hospice Non Par Agree $92 103%
Node Va $92 103%
Va Choice Program $92 103%
Node Devoted Health Mcr Adv $93 105%
Indiana Dept Of Correction $96 108%
Node Pphp Mcr Adv $97 109%
Us Department Of Labor $115 129%
Prime Health In Work Comp $166 187%
In Wc $185 208%
Encore Kba Epo $221 249%
Magnacare Ma $226 254%
Encore Kba Ppo $277 312%

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