Northwest Health-la Porte
NORTHWEST HEALTH-LA PORTE in La Porte, Indiana charges 7.1x the Medicare reimbursement rate on average across 32 analyzed procedures at this nonprofit hospital.
La Porte, IN 46350 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
D
High
Avg markup vs Medicare
7.12x
Charge / Medicare rate
Max markup
12.81x
Worst procedure
Procedures analyzed
32
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $61,534 | $30,767 | — | 12.8x |
| DIABETES WITH CC | 638 | $44,056 | $22,028 | — | 9.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $39,610 | $19,805 | — | 9.6x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $54,355 | $27,178 | — | 9.4x |
| SYNCOPE AND COLLAPSE | 312 | $44,105 | $22,053 | — | 8.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $106,769 | $53,385 | — | 8.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $66,206 | $33,103 | — | 8.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $38,247 | $19,123 | — | 8.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $42,996 | $21,498 | — | 7.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $51,548 | $25,774 | — | 7.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $52,696 | $26,348 | — | 7.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $32,047 | $16,024 | — | 7.1x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $130,270 | $65,135 | — | 7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $29,107 | $14,553 | — | 6.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $38,447 | $19,224 | — | 6.7x |
| RENAL FAILURE WITH MCC | 682 | $62,216 | $31,108 | — | 6.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $28,287 | $14,144 | — | 6.7x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $48,573 | $24,286 | — | 6.7x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $69,855 | $34,927 | — | 6.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $47,380 | $23,690 | — | 6.6x |
| DIABETES WITH MCC | 637 | $64,970 | $32,485 | — | 6.6x |
| TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | 713 | $57,181 | $28,591 | — | 6.5x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $203,551 | $101,776 | — | 6.4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $40,259 | $20,130 | — | 6.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $60,927 | $30,464 | — | 5.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $66,932 | $33,466 | — | 5.8x |
| CELLULITIS WITHOUT MCC | 603 | $28,062 | $14,031 | — | 5.7x |
| CELLULITIS WITH MCC | 602 | $46,769 | $23,385 | — | 5.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $50,689 | $25,344 | — | 5.4x |
| RENAL FAILURE WITH CC | 683 | $27,560 | $13,780 | — | 5.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $227,941 | $113,970 | — | 5.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $53,707 | $26,853 | — | 5x |
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use