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

Northwest Health - Porter in Valparaiso, IN currently has 97 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Northwest Health - Porter's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

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

CMS Care Compare assigns Northwest Health - Porter an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 198 Beds · rural Updated: 2026-04-01

Northwest Health - Porter

85 East Us Hwy 6, Valparaiso, IN 46383 · 97 Priced Procedures · 49% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Above Fair Market · Negotiate

1.19×vs. Fair Market Price

Typical commercial prices here are +19% above the fair benchmark (1.19×) even after accounting for local nurse/doctor wages and patient complexity.

84/100 · Corroborated

84/100Self-Pay Cash Beats Insurance 55% of the Time

File Completeness56

Price Logic95

Peer Alignment81

Clean Billing90

Real Cash Discount100

Regional Benchmark Tier

2-Star CMS clinical quality rating paired with 1.19× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Northwest Health - Porter maintains elevated commercial insurance contracts (1.19× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 55% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#57 of 107 in IN · 52nd State Percentile#1,971 of 3,385 in U.S. · 58th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.96× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 55% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 49% patient recommendation (57/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.3× markup over Medicare rates
Commercial insurance median sits at 1.04× Fair BaseRate (1.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.40×) jump +35% above the median procedure ratio (Q50 1.04×)
Unnegotiated chargemaster list prices average 20.1× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.5× Medicare

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

Back-Door Captive & ER0.73× Divergence

1.1× Medicare

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

Quantile Tail Spread+35% Upper Tail

Q25 0.96× · Q50 1.04× · Q75 1.40×

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

1.5× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.3× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.3× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

2.2× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

5.1× MedicareWatchout

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

0.5× MedicareGood

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

55% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 57/100Elevated

Procedure Prices at Northwest Health - Porter

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 97 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	$37,013	$24,450	$13,413	1.8×
Total knee replacement CPT Code: `27447`	$42,436	$24,450	$13,523	1.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$23,292	$19,087	1.2×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$23,128	$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`	—	$9,348	$8,223	1.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$27,451	$6,408	$6,109	1.0×
Cataract surgery with lens implant CPT Code: `66984`	$4,830	$4,316	$2,540	1.7×
Breast lump removal CPT Code: `19120`	$6,804	$4,150	$3,875	1.1×
Inguinal hernia repair CPT Code: `49505`	$11,905	$3,927	$3,629	1.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$19,688	$3,589	$3,372	1.1×
Bunion correction surgery CPT Code: `28296`	$21,709	$3,589	$3,446	1.0×
Colonoscopy with biopsy CPT Code: `45380`	$3,888	$2,532	$1,256	2.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$3,153	$1,968	$981	2.0×
Upper endoscopy with biopsy CPT Code: `43239`	$4,105	$1,919	$987	1.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,498	$1,635	$1,021	1.6×
Injection procedure for pain management HCPCS Code: `G0260`	$1,202	$1,195	$855	1.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,169	$789	$583	1.4×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,815	$738	$511	1.4×
Blood transfusion CPT Code: `36430`	$919	$700	$498	1.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,850	$632	$448	1.4×
MRI, knee or other leg joint CPT Code: `73721`	$1,463	$505	$369	1.4×
MRI, lower back (no contrast) CPT Code: `72148`	$1,863	$458	$338	1.4×
MRI, brain (no contrast) CPT Code: `70551`	$1,605	$464	$343	1.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$702	$454	$272	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$2,124	$371	$258	1.4×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,855	$350	$303	1.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$238	$371	$201	unverified
CT scan, head (with contrast) CPT Code: `70460`	$2,023	$306	$242	1.3×
CT scan, sinuses CPT Code: `70486`	$1,428	$265	$166	1.6×
Ultrasound, abdomen (complete) CPT Code: `76700`	$800	$221	$134	1.6×
CT scan, head (no contrast) CPT Code: `70450`	$1,309	$221	$160	1.4×
CT scan, pelvis CPT Code: `72192`	$1,428	$221	$163	1.4×
CT scan, chest (no contrast) CPT Code: `71250`	$1,428	$221	$167	1.3×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,428	$221	$168	1.3×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,428	$221	$169	1.3×
Ultrasound, thyroid and neck CPT Code: `76536`	$626	$221	$132	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$539	$216	$126	unverified
Ultrasound, pelvis CPT Code: `76856`	$744	$221	$130	unverified
X-ray, chest (two views) CPT Code: `71046`	$320	$166	$93	1.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$308	$184	$148	1.2×
Screening mammogram (both breasts) CPT Code: `77067`	$263	$152	$123	1.2×
X-ray, chest (single view) CPT Code: `71045`	$178	$166	$92	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$108	$94	$64	1.5×
X-ray, shoulder CPT Code: `73030`	$257	$95	$92	1.0×
X-ray, foot CPT Code: `73630`	$257	$95	$92	1.0×
X-ray, hand CPT Code: `73130`	$257	$95	$93	1.0×
X-ray, ankle CPT Code: `73610`	$367	$95	$93	1.0×
X-ray, lower back CPT Code: `72110`	$467	$114	$112	1.0×
X-ray, pelvis CPT Code: `72170`	$181	$111	$110	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$292	$92	$93	1.0×
X-ray, hip CPT Code: `73502`	$257	$92	$93	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$40	$77	$49	1.6×
Colorectal cancer screening HCPCS Code: `G0010`	$40	$77	$49	1.6×
Flu vaccine injection HCPCS Code: `G0008`	$40	$74	$48	1.5×
Blood antibody screen CPT Code: `86850`	$81	$55	$46	1.2×
Speech therapy (language evaluation) CPT Code: `92507`	$292	$77	$86	0.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	$26	$38	$35	1.1×
Blood test, vitamin D CPT Code: `82306`	$91	$30	$31	1.0×
Orthotic fitting and training CPT Code: `97760`	$81	$46	$51	0.9×
Prosthetic fitting and training CPT Code: `97761`	$81	$40	$45	0.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$194	$11	$11	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$95	$35	$40	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$74	$33	$38	0.9×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$51	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	$53	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$40	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$87	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$37	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$103	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$79	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$49	$7	$7	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$95	$32	$38	0.8×
Blood test, potassium CPT Code: `84132`	$46	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$46	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$46	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$110	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$50	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$81	$9	$9	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$114	$19	$20	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$114	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$123	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$151	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$194	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$205	$13	$14	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$129	$13	$14	0.9×
Culture, blood CPT Code: `87040`	$99	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$129	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$164	$8	$9	0.9×
Speech therapy (group session) CPT Code: `92508`	$74	$24	$27	0.9×
Physical therapy (gait training) CPT Code: `97116`	$86	$29	$33	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$100	$32	$38	0.8×
Blood test, amylase CPT Code: `82150`	$88	$6	$7	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$86	$29	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$110	$28	$34	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$36	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$36	$2	$3	0.7×

Showing top 25 high-impact procedures of 97 total

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

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

CMS CCN: 150035

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash $37,013

Insurer Median $24,450

1. Amount on Your Bill or Quote ($) Pre-filled with Northwest Health - Porter’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 Save $100,071 Paying Cash

Self-Pay Cash Rate ($37,013) Beats Your Bill

Northwest Health - Porter's published 45 CFR § 180 self-pay cash rate is $37,013 (vs. $24,450 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$123,671 Above Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your bill ($137,084) is $123,671 above the denoised Fair BaseRate ($13,413) and 10.5× the $13,117 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 - Porter 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 Overall2/5 Stars (2/5)

Safety Composite57/100

Would Recommend49%

Rated 9 or 10 (HCAHPS)56%

Median ER Wait137 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.8%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

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 - Porter. Prior administrative notices do not necessarily reflect current compliance status.

2025-01-06·administrative_or_closure
Closure Notice
Recorded
2024-09-26·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (846 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 Quality & Price Benchmark

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

Price Index: 1.30× regional baseline

Quality: 43/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-60.6%

Blue Cross Blue Shield

-50.0%

Align Network

-46.8%

Physicians Health Plan

+75.2%

Health Net

+84.4%

Median Household Income$85,828U.S. Census ACS

Local Uninsured Share4.8%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 84/100 · Corroborated CMS CCN 150035

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 150035) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-01

Validated Rate Rows8,651 (CMS v3.0.0)

File Integrity DigestVerified · CCN 150035

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