Supplies, drugs & other prices at Northwest Health-la Porte
La Porte, IN · every code in this section with a posted price and a Medicare benchmark.
93 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2019-ncov diagnostic p (U0001) | $45.07 | $136.57 | 1.3× |
| 2d tee w or w/o fol w/con,in (C8925) | $1,475.30 | $4,470.60 | 1.8× |
| 2d tte w or w/o fol w/con,co (C8923) | $843.94 | $2,557.39 | 1.0× |
| 2d tte w or w/o fol w/con,fu (C8924) | $642.22 | $1,946.12 | 1.7× |
| Adm of soc dtr assess 5-15 m (G0136) | $14.52 | $44 | 0.4× |
| Admin hepatitis b vaccine (G0010) range across 7 matching MRF lines |
$11.55–$16.89 | $35–$51.18 | varies |
| Admin influenza virus vac (G0008) range across 9 matching MRF lines |
$11.55–$16.89 | $35–$51.18 | varies |
| Admin pneumococcal vaccine (G0009) range across 11 matching MRF lines |
$1.65–$16.89 | $5–$51.18 | varies |
| Annual alcohol screen 15 min (G0442) range across 2 matching MRF lines |
$8.58–$15.51 | $26–$47 | varies |
| Ca screen;flexi sigmoidscope (G0104) range across 3 matching MRF lines |
$49.83–$4,330.01 | $151–$13,121.24 | varies |
| Ca screen;pelvic/breast exam (G0101) range across 2 matching MRF lines |
$24.42–$33 | $74–$100 | varies |
| Catheterize for urine spec (P9612) | $72.82 | $220.67 | 7.8× |
| Colon ca scrn not hi rsk ind (G0121) range across 3 matching MRF lines |
$165–$3,939.25 | $500–$11,937.12 | varies |
| Colorectal scrn; hi risk ind (G0105) range across 3 matching MRF lines |
$164.67–$3,964.81 | $499–$12,014.59 | varies |
| Covid-19 lab test non-cdc (U0002) | $45.07 | $136.57 | 0.9× |
| Depression screen annual (G0444) range across 2 matching MRF lines |
$8.58–$15.51 | $26–$47 | varies |
| Diab manage trn per indiv (G0108) range across 8 matching MRF lines |
$7.43–$81.03 | $22.50–$245.54 | varies |
| Diab manage trn ind/group (G0109) range across 11 matching MRF lines |
$7.43–$22.67 | $22.50–$68.71 | varies |
| Direct refer hospital observ (G0379) range across 2 matching MRF lines |
$62.55–$68.96 | $189.54–$208.97 | varies |
| Eia hiv-1/hiv-2 screen (G0432) range across 11 matching MRF lines |
$3.23–$31.83 | $9.79–$96.45 | varies |
| Ekg tracing for initial prev (G0404) | $6.93 | $21 | 0.2× |
| Elec stim other than wound (G0283) | $72.35 | $219.23 | 5.7× |
| Elec stim unattend for press (G0281) | $72.35 | $219.23 | 6.2× |
| Elisa hiv-1/hiv-2 screen (G0433) | $31.85 | $96.52 | 1.7× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) | $13,716.19 | $41,564.21 | 1.1× |
| Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS), including muscularis propria (ie,… (0184T) likely a partial charge, not the full procedure |
$675.51 | $2,047 | 0.1× |
| Extrnl counterpulse, per tx (G0166) | $116.82 | $354 | 0.8× |
| Fecal blood scrn immunoassay (G0328) range across 3 matching MRF lines |
$2.98–$28.42 | $9.03–$86.11 | varies |
| Fecal microbiota prep instil (G0455) range across 2 matching MRF lines |
$64.35–$110.22 | $195–$334 | varies |
| Hbot, full body chamber, 30m (G0277) range across 3 matching MRF lines |
$553.51–$581.18 | $1,677.29–$1,761.15 | varies |
| Hiv combination assay (G0475) range across 6 matching MRF lines |
$2.75–$25.47 | $8.34–$77.19 | varies |
| Home sleep test/type 3 porta (G0399) | $350.62 | $1,062.48 | 1.5× |
| Hospital outpt clinic visit (G0463) range across 33 matching MRF lines |
$56.49–$11,758.69 | $171.19–$35,632.38 | varies |
| Initial preventive exam (G0402) range across 2 matching MRF lines |
$112.20–$145.20 | $340–$440 | varies |
| Mnt subs tx for change dx (G0270) range across 2 matching MRF lines |
$33.99–$35.69 | $103.01–$108.16 | varies |
| Mra w/cont, abd (C8900) | $1,400.07 | $4,242.65 | 3.8× |
| Mra w/cont, chest (C8909) | $1,400.07 | $4,242.65 | 3.8× |
| Mra w/cont, lwr ext (C8912) | $1,400.07 | $4,242.65 | 3.8× |
| Mra w/cont, pelvis (C8918) | $1,400.07 | $4,242.65 | 3.8× |
| Mra w/o cont, abd (C8901) | $1,272.76 | $3,856.86 | 5.0× |
| Mra w/o cont, chest (C8910) | $1,272.76 | $3,856.86 | 5.0× |
| Mra w/o cont, lwr ext (C8913) | $1,272.76 | $3,856.86 | 5.0× |
| Mra w/o cont, pelvis (C8919) | $1,272.76 | $3,856.86 | 5.0× |
| Mra w/o fol w/cont, abd (C8902) | $1,527.41 | $4,628.51 | 4.1× |
| Mra w/o fol w/cont, chest (C8911) | $1,527.41 | $4,628.51 | 4.1× |
| Mra w/o fol w/cont, lwr ext (C8914) | $1,527.41 | $4,628.51 | 4.1× |
| Mra w/o fol w/cont, pelvis (C8920) | $1,527.41 | $4,628.51 | 4.1× |
| Mra, w/dye, spinal canal (C8931) | $1,400.07 | $4,242.65 | 3.8× |
| Mra, w/dye, upper extremity (C8934) | $1,400.07 | $4,242.65 | 3.8× |
| Mra, w/o dye, spinal canal (C8932) | $1,272.76 | $3,856.86 | 5.0× |
| Mra, w/o dye, upper extr (C8935) | $1,272.76 | $3,856.86 | 5.0× |
| Mra, w/o&w/dye, spinal canal (C8933) | $1,527.41 | $4,628.51 | 4.1× |
| Mra, w/o&w/dye, upper extr (C8936) | $1,527.41 | $4,628.51 | 4.1× |
| Mri w/cont, breast, bi (C8906) | $1,400.07 | $4,242.65 | 3.8× |
| Mri w/cont, breast, uni (C8903) | $1,400.07 | $4,242.65 | 7.5× |
| Mri w/o fol w/cont, breast, (C8908) | $1,527.41 | $4,628.51 | 4.1× |
| Mri w/o fol w/cont, brst, un (C8905) | $1,527.41 | $4,628.51 | 4.1× |
| Njx bone sub matrl into subchondral bone defect (0707T) | $18,985.21 | $57,530.95 | 5.5× |
| Njx platelet plasma (0232T) | $165 | $500 | 0.3× |
| Obtaining screen pap smear (Q0091) range across 2 matching MRF lines |
$17.16–$38.61 | $52–$117 | varies |
| Oral hiv-1/hiv-2 screen (G0435) range across 6 matching MRF lines |
$2.20–$67.52 | $6.66–$204.60 | varies |
| Oth resp proc, group (G0239) | $96.45 | $292.26 | 2.4× |
| Oth resp proc, indiv (G0238) range across 2 matching MRF lines |
$8.58–$28.83 | $26–$87.36 | varies |
| Pathogen test for platelets (P9100) | $76.02 | $230.35 | 1.2× |
| Perc d-e cor revasc chro sin (C9607) | $21,930.82 | $66,457.03 | 1.1× |
| Perc d-e cor revasc t cabg s (C9604) | $13,716.19 | $41,564.21 | 1.1× |
| Perc d-e cor stent ather s (C9602) | $21,930.82 | $66,457.03 | 1.1× |
| Perc drug-el cor stent sing (C9600) | $13,716.19 | $41,564.21 | 1.1× |
| Ppps, initial visit (G0438) | $149.16 | $452 | 0.9× |
| Ppps, subseq visit (G0439) | $100.65 | $305 | 0.7× |
| Prolonged iv inf, req pump (C8957) | $214.14 | $648.92 | 0.9× |
| Prostate biopsy, any mthd (G0416) | $977.60 | $2,962.42 | 2.6× |
| Psa screening (G0103) range across 3 matching MRF lines |
$3.37–$63.66 | $10.22–$192.90 | varies |
| Revasc intra lithotrip-ather (C9766) | $21,930.82 | $66,457.03 | 1.1× |
| Revasc intra lithotrip-stent (C9765) | $21,930.82 | $66,457.03 | 1.1× |
| Revasc intravasc lithotripsy (C9764) | $13,716.19 | $41,564.21 | 1.1× |
| Revasc lith-sten-ath tib/per (C9775) | $21,930.82 | $66,457.03 | 1.1× |
| Revasc lithotr-ather tib/per (C9774) | $21,930.82 | $66,457.03 | 1.1× |
| Revasc lithotr-stent tib/per (C9773) | $21,930.82 | $66,457.03 | 1.1× |
| Revasc lithotrip tibi/perone (C9772) | $13,716.19 | $41,564.21 | 1.1× |
| Revasc lithotrip-stent-ather (C9767) | $21,930.82 | $66,457.03 | 1.1× |
| Screen cerv/vag thin layer (G0123) range across 2 matching MRF lines |
$9.17–$54.99 | $27.79–$166.64 | varies |
| Therapeutic procd strg endur (G0237) | $28.83 | $87.36 | 0.9× |
| Tomosynthesis, mammo (G0279) range across 15 matching MRF lines |
$10.41–$25.56 | $31.56–$77.46 | varies |
| Trluml perip athrc abd aorta (0236T) | $13,716.19 | $41,564.21 | 1.1× |
| Trluml Perip Athrc Brchiocph (0237T) | $13,716.19 | $41,564.21 | 1.1× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | $13,716.19 | $41,564.21 | 1.1× |
| Tte w or w/o contr, cont ecg (C8930) | $914.97 | $2,772.65 | 1.1× |
| Tte w or w/o fol w/con,stres (C8928) | $1,032.03 | $3,127.36 | 1.2× |
| Tte w or wo fol wcon,doppler (C8929) | $1,184.42 | $3,589.16 | 1.4× |
| Unsched dialysis esrd pt hos (G0257) | $666.52 | $2,019.75 | 0.9× |
| Ven blood coll snf/hha (G0471) | $16.40 | $49.69 | 1.4× |
| Visit to determ ldct elig (G0296) | $16.50 | $50 | 0.2× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.