CMS Price Transparency Data

X-ray, hand

Facility: Northwest Health-La Porte

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73130
  • Insurance Median: $62
  • Cash Discount Price: $28
  • vs. Medicare Baseline: 0.70x Medicare
The contracted insurance negotiated median rate for a X-ray, hand at Northwest Health-La Porte is $62. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.70x the Medicare baseline. Located in 1007 Lincolnway, La Porte, IN.
Cash / Self-Pay
$28

Average discount available for prompt cash payment at this facility.

Insurance Median
$62

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: $28 (31%)
Insurance Median: $62 (70%)
Cash: $28 (31% of Medicare)
Ins. Median: $62 (70% 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 - $116 7%
Self Pay $8 - $232 9%
Lutheran Preferred Medpartners $10 - $180 11%
Php $10 - $178 11%
Alpha Baking $11 - $193 12%
Php Freedom Network $14 - $259 16%
Encore $16 - $387 18%
County Of Laporte $17 - $301 19%
Cigna $18 - $319 20%
Prime Health Services $18 - $322 20%
Prime Health Services Auto $18 - $322 20%
UnitedHealthcare $18 - $302 20%
Aetna $19 - $355 21%
Ihn $19 - $344 21%
Community Health Alliance $21 - $374 24%
Lutheran Network $21 - $378 24%
Sagamore Health Network $21 - $378 24%
Chandler Group $22 - $387 25%
Hfn Workers Compensation $22 - $387 25%
Multiplan $22 - $387 25%
Phcs $22 - $387 25%
One Call $35 39%
Caresource $51 - $66 57%
Blue Cross Blue Shield $66 - $375 74%
Humana $66 - $91 74%
Managed Health Services $66 - $185 74%
Medicaid / KanCare $66 74%
Mhs $66 74%
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