How many shoppable procedure prices are published for Northwest Health-La Porte?

Northwest Health-La Porte in La Porte, IN currently has 117 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Northwest Health-La Porte's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Northwest Health-La Porte's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

What is Northwest Health-La Porte's CMS Care Compare overall star rating?

CMS Care Compare assigns Northwest Health-La Porte an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 84 Beds · urban Updated: 2026-04-01

Northwest Health-La Porte

1007 Lincolnway, La Porte, IN 46350 · 117 Priced Procedures · 65% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.07×vs. Fair Market Price

Typical commercial prices here are +7% above the fair benchmark (1.07×) even after accounting for local nurse/doctor wages and patient complexity.

65/100 · Caution

65/100Self-Pay Cash Beats Insurance 70% of the Time

File Completeness56

Price Logic43

Peer Alignment58

Clean Billing82

Real Cash Discount100

High Quality · Fair Price

4-Star CMS clinical quality rating paired with 1.07× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Northwest Health-La Porte maintains elevated commercial insurance contracts (1.07× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 70% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#47 of 107 in IN · 42nd State Percentile#1,579 of 3,385 in U.S. · 46th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.89× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 70% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (71/100 safety score) with 65% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.07× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 0.97× Fair BaseRate (1.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.30×) jump +34% above the median procedure ratio (Q50 0.97×)
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.3× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.85× Divergence

1.1× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+34% Upper Tail

Q25 0.89× · Q50 0.97× · Q75 1.30×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.3× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.1× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.1× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

2.2× MedicareFair

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

70% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 71/100Fair

Procedure Prices at Northwest Health-La Porte

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 117 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$22,515	$19,087	1.2×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$22,368	$19,432	1.2×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$17,584	$17,936	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$9,543	$8,223	1.2×
C-section delivery (full package) CPT Code: `59510`	$2,848	$2,072	$2,975	0.7×
Total hip replacement CPT Code: `27130`	$1,915	$1,915	$13,413	unverified
Total knee replacement CPT Code: `27447`	$1,914	$1,914	$13,523	unverified
Vaginal delivery (full package) CPT Code: `59400`	$2,575	$1,873	$2,680	0.7×
Bunion correction surgery CPT Code: `28296`	$1,001	$1,001	$3,446	0.3×
Cataract surgery with lens implant CPT Code: `66984`	$912	$912	$2,540	0.4×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$910	$910	$6,109	0.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$762	$762	$3,372	0.2×
Inguinal hernia repair CPT Code: `49505`	$730	$730	$3,629	0.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$700	$700	$1,021	0.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,013	$666	$511	1.3×
Breast lump removal CPT Code: `19120`	$628	$628	$3,875	0.2×
Blood transfusion CPT Code: `36430`	$475	$585	$498	1.2×
MRI, lower back (no contrast) CPT Code: `72148`	$1,678	$458	$338	1.4×
MRI, brain (no contrast) CPT Code: `70551`	$699	$460	$343	1.3×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$275	$455	$272	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$1,678	$372	$258	1.4×
Colonoscopy with biopsy CPT Code: `45380`	$367	$367	$1,256	0.3×
Colonoscopy (diagnostic) CPT Code: `45378`	$338	$338	$981	0.3×
CT scan, head (with contrast) CPT Code: `70460`	$1,601	$306	$242	1.3×
CT scan, sinuses CPT Code: `70486`	$619	$269	$166	1.6×
Rabies immune globulin HCPCS Code: `90375`	$4,867	$294	$322	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	$293	$293	$987	0.3×
Ultrasound, thyroid and neck CPT Code: `76536`	$262	$200	$132	1.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$414	$200	$134	1.5×
CT scan, pelvis CPT Code: `72192`	$1,342	$222	$163	1.4×
CT scan, chest (no contrast) CPT Code: `71250`	$555	$222	$167	1.3×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,342	$222	$168	1.3×
CT scan, neck (cervical spine) CPT Code: `72125`	$538	$222	$169	1.3×
Psychotherapy session (60 minutes) CPT Code: `90837`	$113	$216	$181	1.2×
Psychiatric evaluation (first visit) CPT Code: `90791`	$116	$216	$185	1.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$227	$227	$583	0.4×
Ultrasound, pelvis CPT Code: `76856`	$95	$189	$130	1.5×
CT scan, head (no contrast) CPT Code: `70450`	$538	$210	$160	1.3×
Psychotherapy session (45 minutes) CPT Code: `90834`	$76	$189	$166	1.1×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,921	$145	$151	1.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$152	$152	$303	0.5×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$86	$102	$148	0.7×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$127	$127	$448	0.3×
Screening mammogram (both breasts) CPT Code: `77067`	$161	$84	$123	0.7×
Family therapy session CPT Code: `90847`	$95	$95	$173	0.5×
MRI, knee or other leg joint CPT Code: `73721`	$102	$102	$369	0.3×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$736	$669	$203	unverified
Typhoid vaccine HCPCS Code: `90675`	$1,713	$336	$347	1.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$354	$279	$111	2.5×
Pneumococcal vaccine HCPCS Code: `90732`	$460	$291	$140	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$195	$140	$56	2.5×
Speech therapy (language evaluation) CPT Code: `92507`	$177	$76	$86	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$93	$77	$123	0.6×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$143	$97	$39	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$64	$40	$25	1.6×
Blood antibody screen CPT Code: `86850`	$51	$56	$46	1.2×
New patient office visit (30-44 min) CPT Code: `99203`	$93	$68	$110	0.6×
Hepatitis B vaccine HCPCS Code: `90744`	$118	$74	$37	unverified
Prosthetic fitting and training CPT Code: `97761`	$88	$40	$45	0.9×
Orthotic fitting and training CPT Code: `97760`	$76	$45	$51	0.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$7	$14	$14	1.0×
Blood test, vitamin D CPT Code: `82306`	$14	$30	$31	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$9	$19	$20	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$87	$35	$40	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$73	$33	$38	0.9×
X-ray, hip CPT Code: `73502`	$43	$43	$93	0.5×
Ultrasound, abdomen (limited) CPT Code: `76705`	$50	$50	$126	0.4×
Blood test, vitamin B12 CPT Code: `82607`	$7	$15	$16	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$72	$12	$14	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$81	$32	$38	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	$24	$29	$35	0.8×
Physical therapy (gait training) CPT Code: `97116`	$72	$27	$33	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$82	$31	$38	0.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	$63	$55	$87	0.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$82	$27	$35	0.8×
X-ray, lower back CPT Code: `72110`	$37	$37	$112	0.3×
Psychological testing evaluation CPT Code: `96136`	$39	$39	$128	0.3×
Psychological testing by technician CPT Code: `96138`	$43	$43	$395	0.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$5	$11	$11	1.0×
Blood test, calcium CPT Code: `82310`	$2	$5	$5	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$2	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$8	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$3	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$3	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$5	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$5	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$2	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$12	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$23	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$4	$9	$9	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$9	$18	$19	0.9×
Hepatitis C antibody test CPT Code: `86803`	$7	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$22	$13	$14	0.9×
Culture, blood CPT Code: `87040`	$69	$10	$11	0.9×
Blood test, liver function panel CPT Code: `80076`	$4	$8	$9	0.9×
X-ray, pelvis CPT Code: `72170`	$33	$33	$110	0.3×
X-ray, chest (two views) CPT Code: `71046`	$58	$58	$93	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$2	$3	$3	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$8	$5	$5	1.0×
Blood test, basic metabolic panel CPT Code: `80048`	$4	$8	$9	0.9×
Blood test, amylase CPT Code: `82150`	$3	$6	$7	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$2	$4	$5	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$43	$26	$34	0.8×
X-ray, hand CPT Code: `73130`	$28	$28	$93	0.3×
Blood test, hemoglobin CPT Code: `85018`	$4	$2	$3	0.7×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$19	$14	$25	0.6×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$24	$24	$64	0.4×
Flu vaccine injection HCPCS Code: `G0008`	$18	$18	$48	0.4×
Colorectal cancer screening HCPCS Code: `G0010`	$18	$18	$49	0.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$14	$14	$49	0.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$5	$5	$18	0.3×
X-ray, shoulder CPT Code: `73030`	$24	$24	$92	0.3×
X-ray, ankle CPT Code: `73610`	$23	$23	$93	0.2×
X-ray, foot CPT Code: `73630`	$19	$19	$92	0.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$19	$19	$93	0.2×
X-ray, chest (single view) CPT Code: `71045`	$29	$29	$92	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$25	$25	$201	unverified

Showing top 25 high-impact procedures of 117 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Northwest Health-La Porte (Zero PHI Required)

CMS CCN: 150006

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash Request Quote

Insurer Median $22,515

1. Amount on Your Bill or Quote ($) Pre-filled with Northwest Health-La Porte’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Northwest Health-La Porte's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$34,949 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($54,036) is $34,949 above the denoised Fair BaseRate ($19,087) and 3.8× the $14,117 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Northwest Health-La Porte as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall4/5 Stars (4/5)

Safety Composite71/100

Would Recommend65%

Rated 9 or 10 (HCAHPS)74%

Median ER Wait152 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Northwest Health-La Porte. Prior administrative notices do not necessarily reflect current compliance status.

2026-02-18·administrative_or_closure
Met Requirements
Recorded
2025-04-22·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (468 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Northwest Health-La Porte.

Price Index: 1.00× regional baseline

Quality: 67/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-49.9%

Median Household Income$70,452U.S. Census ACS

Local Uninsured Share6.4%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 65/100 · Caution CMS CCN 150006

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 150006) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-01

Validated Rate Rows12,622 (CMS v3.0.0)

File Integrity DigestVerified · CCN 150006

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy