CMS Price Transparency Data

X-ray, hip

Facility: Northwest Health-La Porte

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $73
  • Cash Discount Price: $43
  • vs. Medicare Baseline: 0.82x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Northwest Health-La Porte is $73. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $43. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.82x the Medicare baseline. Located in 1007 Lincolnway, La Porte, IN.
Cash / Self-Pay
$43

Average discount available for prompt cash payment at this facility.

Insurance Median
$73

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: $43 (48%)
Insurance Median: $73 (82%)
Cash: $43 (48% of Medicare)
Ins. Median: $73 (82% 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 $8 - $116 9%
Self Pay $10 - $232 11%
Php $12 - $178 13%
Lutheran Preferred Medpartners $13 - $180 15%
Alpha Baking $14 - $193 16%
Php Freedom Network $18 - $259 20%
Encore $20 - $387 22%
County Of Laporte $21 - $301 24%
Cigna $22 - $319 25%
Prime Health Services $22 - $322 25%
Prime Health Services Auto $22 - $322 25%
UnitedHealthcare $22 - $302 25%
Aetna $23 - $355 26%
Ihn $24 - $344 27%
Community Health Alliance $26 - $374 29%
Lutheran Network $26 - $378 29%
Sagamore Health Network $26 - $378 29%
Chandler Group $27 - $387 30%
Hfn Workers Compensation $27 - $387 30%
Multiplan $27 - $387 30%
Phcs $27 - $387 30%
One Call $45 51%
Caresource $62 - $81 70%
Blue Cross Blue Shield $81 - $375 91%
Humana $81 - $91 91%
Managed Health Services $81 - $185 91%
Medicaid / KanCare $81 91%
Mhs $81 91%
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