CMS Price Transparency Data

X-ray, pelvis

Facility: Northwest Health-La Porte

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $68
  • Cash Discount Price: $33
  • vs. Medicare Baseline: 0.64x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Northwest Health-La Porte is $68. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.64x the Medicare baseline. Located in 1007 Lincolnway, La Porte, IN.
Cash / Self-Pay
$33

Average discount available for prompt cash payment at this facility.

Insurance Median
$68

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: $33 (31%)
Insurance Median: $68 (64%)
Cash: $33 (31% of Medicare)
Ins. Median: $68 (64% 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 $6 - $105 6%
Self Pay $8 - $210 7%
Lutheran Preferred Medpartners $10 - $163 9%
Php $10 - $161 9%
Alpha Baking $11 - $175 10%
Php Freedom Network $14 - $234 13%
Encore $16 - $350 15%
County Of Laporte $17 - $272 16%
Cigna $18 - $289 17%
Prime Health Services $18 - $292 17%
Prime Health Services Auto $18 - $292 17%
UnitedHealthcare $18 - $274 17%
Aetna $19 - $322 18%
Ihn $19 - $311 18%
Community Health Alliance $21 - $338 20%
Lutheran Network $21 - $342 20%
Sagamore Health Network $21 - $342 20%
Chandler Group $22 - $350 21%
Hfn Workers Compensation $22 - $350 21%
Multiplan $22 - $350 21%
Phcs $22 - $350 21%
One Call $26 24%
Caresource $41 - $54 38%
Blue Cross Blue Shield $54 - $451 51%
Humana $54 - $109 51%
Managed Health Services $54 - $222 51%
Medicaid / KanCare $54 51%
Mhs $54 51%
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