Indiana / Northwest Health-La Porte
CMS certification 150006 · La Porte, IN · 2 entries in CMS's price-transparency list
Northwest Health-La Porte: charges and Medicare payments
Northwest Health-La Porte reported 807 Medicare inpatient stays across 29 DRGs in 2024. Across them it charged 5.93 times what it was paid — among the higher ratios in Indiana, number 9 of 70 hospitals with at least 100 stays (state median 4.08×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 172 stays at an average charge of $80,073, 11% below the national average. It also billed 1,482 outpatient services, charging 13.27 times what Medicare paid.
- 1Medicare inpatient stays 807
- 2Charge ÷ paid, inpatient 5.93×
- 3Rank in IN (highest ratio = 1) 9 of 70
- 4CMS price-transparency actions 2
Inpatient stays
For the 29 DRGs that can be compared with the national average, Northwest Health-La Porte charged more than the national average in 9 (31%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 172 | $80,073 | -11% | $13,756 |
| 291 Heart Failure and Shock with MCC | 61 | $43,407 | -23% | $9,010 |
| 193 Simple Pneumonia and Pleurisy with MCC | 60 | $54,886 | -8% | $9,388 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 34 | $49,368 | +1% | $7,326 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 32 | $52,730 | -30% | $11,260 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 28 | $42,614 | -16% | $8,666 |
| 177 Respiratory Infections and Inflammations with MCC | 27 | $46,931 | -34% | $11,457 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 25 | $93,544 | -17% | $15,772 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 25 | $68,898 | -6% | $11,383 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 24 | $54,992 | -1% | $7,320 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 23 | $50,366 | -11% | $8,447 |
| 689 Kidney and Urinary Tract Infections with MCC | 23 | $49,444 | -4% | $8,961 |
| 683 Renal Failure with CC | 22 | $39,907 | -2% | $6,520 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 21 | $132,914 | +16% | $16,969 |
| 377 Gastrointestinal Hemorrhage with MCC | 21 | $88,349 | +3% | $11,915 |
| 690 Kidney and Urinary Tract Infections without MCC | 20 | $35,026 | -7% | $5,928 |
| 194 Simple Pneumonia and Pleurisy with CC | 17 | $29,248 | -24% | $6,094 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 17 | $36,295 | 0% | $5,759 |
| 682 Renal Failure with MCC | 17 | $61,653 | -6% | $10,487 |
| 378 Gastrointestinal Hemorrhage with CC | 16 | $56,534 | +16% | $7,028 |
| 638 Diabetes with CC | 16 | $43,082 | +3% | $6,336 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $75,474 | +25% | $11,705 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 14 | $75,135 | -45% | $18,718 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 14 | $193,542 | +18% | $23,752 |
| 603 Cellulitis without MCC | 14 | $34,670 | -7% | $6,793 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 14 | $38,725 | +4% | $7,339 |
| 713 Transurethral Prostatectomy with CC/MCC | 13 | $76,245 | 0% | $10,234 |
| 312 Syncope and Collapse | 11 | $47,057 | +3% | $6,264 |
| 389 Gastrointestinal Obstruction with CC | 11 | $27,060 | -30% | $5,675 |
Outpatient services
Against the Indiana average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Northwest Health-La Porte charged $80,073 on average, 27% more than the Indiana average of $63,232, and was paid $13,756 against a state average of $15,368. For Heart Failure and Shock with MCC (DRG 291), Northwest Health-La Porte charged $43,407 on average, 6% more than the Indiana average of $40,842, and was paid $9,010 against a state average of $10,315. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Northwest Health-La Porte charged $54,886 on average, 26% more than the Indiana average of $43,683, and was paid $9,388 against a state average of $10,631. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Northwest Health-La Porte charged $49,368 on average, 36% more than the Indiana average of $36,315, and was paid $7,326 against a state average of $8,681. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $25,244 was 73% above the state average of $14,609. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $20,602 was 12% above the state average of $18,399. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $30,279 was 6% below the state average of $32,147. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $37,423 was 60% above the state average of $23,462.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Northwest Health-La Porte in La Porte, IN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-22 (CMS case 4013)
- Met Requirements — 2026-02-18 (CMS case 7062)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.