CMS Price Transparency Data

X-ray, lower back

Facility: Northwest Health-La Porte

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $76
  • Cash Discount Price: $37
  • vs. Medicare Baseline: 0.71x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Northwest Health-La Porte is $76. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $37. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.71x the Medicare baseline. Located in 1007 Lincolnway, La Porte, IN.
Cash / Self-Pay
$37

Average discount available for prompt cash payment at this facility.

Insurance Median
$76

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: $37 (35%)
Insurance Median: $76 (71%)
Cash: $37 (35% of Medicare)
Ins. Median: $76 (71% 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 $11 - $237 10%
Self Pay $14 - $474 13%
Php $17 - $363 16%
Lutheran Preferred Medpartners $18 - $367 17%
Alpha Baking $19 - $395 18%
Php Freedom Network $25 - $529 23%
Encore $27 - $791 25%
County Of Laporte $29 - $615 27%
Cigna $31 - $653 29%
UnitedHealthcare $31 - $618 29%
Prime Health Services $32 - $659 30%
Prime Health Services Auto $32 - $659 30%
Aetna $33 - $726 31%
Ihn $34 - $703 32%
Community Health Alliance $37 - $764 35%
Lutheran Network $37 - $773 35%
Sagamore Health Network $37 - $773 35%
Chandler Group $38 - $791 36%
Hfn Workers Compensation $38 - $791 36%
Multiplan $38 - $791 36%
Phcs $38 - $791 36%
One Call $50 47%
Caresource $70 - $91 66%
Blue Cross Blue Shield $91 - $451 85%
Humana $91 - $109 85%
Managed Health Services $91 - $222 85%
Medicaid / KanCare $91 85%
Mhs $91 85%
Tricare $105 98%
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%
Node Pphp Mcr Adv $116 109%
Us Department Of Labor $139 130%
Prime Health In Work Comp $200 187%
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