Indiana / Northwest Health- Porter

CMS certification 150035 · Valparaiso, IN · 2 entries in CMS's price-transparency list

Northwest Health- Porter: charges and Medicare payments

Northwest Health- Porter reported 2,609 Medicare inpatient stays across 74 DRGs in 2024. Across them it charged 8.75 times what it was paid — among the higher ratios in Indiana, number 3 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: 268 stays at an average charge of $115,774, 28% above the national average. It also billed 2,749 outpatient services, charging 14.96 times what Medicare paid.

1Medicare inpatient stays 2,609
2Charge ÷ paid, inpatient 8.75×
3Rank in IN (highest ratio = 1) 3 of 70
4CMS price-transparency actions 2

Average charge per stay at Northwest Health- Porter, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 74 DRGs that can be compared with the national average, Northwest Health- Porter charged more than the national average in 66 (89%). 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	268	$115,774	+28%	$14,081
274 Percutaneous and Other Intracardiac Procedures without MCC	182	$242,990	+55%	$22,532
291 Heart Failure and Shock with MCC	161	$67,608	+20%	$8,955
193 Simple Pneumonia and Pleurisy with MCC	101	$81,660	+37%	$9,364
177 Respiratory Infections and Inflammations with MCC	100	$92,181	+31%	$12,001
689 Kidney and Urinary Tract Infections with MCC	78	$62,149	+21%	$8,850
280 Acute Myocardial Infarction, Discharged Alive with MCC	70	$88,046	+16%	$11,279
267 Endovascular Cardiac Valve Replacement and Supplement...	66	$270,131	+22%	$33,825
690 Kidney and Urinary Tract Infections without MCC	64	$44,225	+17%	$6,037
698 Other Kidney and Urinary Tract Diagnoses with MCC	60	$91,521	+25%	$11,167
190 Chronic Obstructive Pulmonary Disease with MCC	55	$75,664	+50%	$8,076
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	52	$50,034	+25%	$5,823
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	49	$61,393	+25%	$7,730
378 Gastrointestinal Hemorrhage with CC	47	$66,686	+37%	$7,506
312 Syncope and Collapse	43	$43,992	-3%	$6,193
481 Hip and Femur Procedures except Major Joint with CC	42	$149,178	+48%	$16,998
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	42	$73,554	+22%	$9,526
853 Infectious and Parasitic Diseases with O.R. Procedures with...	41	$242,144	+6%	$35,154
321 Percutaneous Cardiovascular Procedures with Intraluminal...	40	$245,705	+50%	$22,405
552 Medical Back Problems without MCC	37	$64,448	+32%	$9,059
683 Renal Failure with CC	37	$57,050	+40%	$6,233
322 Percutaneous Cardiovascular Procedures with Intraluminal...	36	$167,907	+47%	$12,488
470 Major Hip and Knee Joint Replacement or Reattachment of...	35	$169,259	+82%	$13,338
603 Cellulitis without MCC	34	$44,070	+18%	$6,904
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	33	$118,983	+19%	$12,637
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	33	$61,368	+10%	$7,100
638 Diabetes with CC	33	$49,791	+19%	$6,245
682 Renal Failure with MCC	33	$64,454	-2%	$10,099
309 Cardiac Arrhythmia and Conduction Disorders with CC	30	$43,171	+20%	$5,365
377 Gastrointestinal Hemorrhage with MCC	29	$123,359	+44%	$12,200
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	26	$50,568	+36%	$5,619
266 Endovascular Cardiac Valve Replacement and Supplement...	25	$309,532	+9%	$41,951
637 Diabetes with MCC	23	$88,514	+33%	$10,138
281 Acute Myocardial Infarction, Discharged Alive with CC	22	$54,655	+8%	$6,833
069 Transient Ischemia without Thrombolytic	21	$50,880	+1%	$5,592
286 Circulatory Disorders except AMI, with Cardiac...	21	$126,012	+12%	$15,193
308 Cardiac Arrhythmia and Conduction Disorders with MCC	19	$67,284	+19%	$8,566
394 Other Digestive System Diagnoses with CC	19	$56,686	+20%	$6,511
480 Hip and Femur Procedures except Major Joint with MCC	19	$222,558	+60%	$20,821
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	19	$173,355	+69%	$14,249
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	18	$68,983	+13%	$9,440
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC	18	$407,881	+101%	$37,620
699 Other Kidney and Urinary Tract Diagnoses with CC	18	$58,671	+24%	$8,620
870 Septicemia or Severe Sepsis with MV >96 Hours	18	$276,983	-14%	$43,311
189 Pulmonary Edema and Respiratory Failure	17	$98,921	+72%	$11,577
389 Gastrointestinal Obstruction with CC	17	$42,396	+9%	$5,734
602 Cellulitis with MCC	17	$76,207	+27%	$10,173
101 Seizures without MCC	16	$50,433	+3%	$7,568
252 Other Vascular Procedures with MCC	16	$226,171	+32%	$23,803
149 Dysequilibrium	15	$42,005	-5%	$5,418
329 Major Small and Large Bowel Procedures with MCC	15	$258,689	+20%	$30,587
330 Major Small and Large Bowel Procedures with CC	15	$162,513	+37%	$17,158
287 Circulatory Disorders except AMI, with Cardiac...	14	$85,305	+34%	$7,658
313 Chest Pain	14	$39,252	-2%	$5,800
393 Other Digestive System Diagnoses with MCC	14	$113,009	+47%	$20,971
083 Traumatic Stupor and Coma >1 Hour with CC	13	$65,319	-11%	$9,642
178 Respiratory Infections and Inflammations with CC	13	$55,065	+22%	$6,859
439 Disorders of Pancreas except Malignancy with CC	13	$75,684	+73%	$6,253
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	13	$51,012	+20%	$6,134
092 Other Disorders of Nervous System with CC	12	$47,870	-7%	$8,034

Showing the 60 most frequent of 74 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 1 Intraocular Procedures	793	$16,932	$2,070
Comprehensive Observation Services	243	$26,043	$2,387
Level 2 Excision/ Biopsy/ Incision and Drainage	168	$16,169	$1,427
Level 1 Endovascular Procedures	162	$42,251	$2,873
Level 5 Musculoskeletal Procedures	136	$149,670	$11,576
Level 2 Upper GI Procedures	116	$18,873	$1,651
Level 3 Endovascular Procedures	114	$124,892	$9,433
Level 3 Vascular Procedures	95	$30,133	$2,821
Level 1 Laparoscopy and Related Services	88	$81,415	$5,100
Level 4 Endovascular Procedures	56	$131,790	$11,150
Level 3 Urology and Related Services	53	$22,547	$1,817
Level 2 Vascular Procedures	52	$15,138	$1,429
Level 3 Excision/ Biopsy/ Incision and Drainage	50	$31,175	$2,454
Level 2 Endovascular Procedures	47	$76,140	$5,098
Level 5 Urology and Related Services	39	$55,999	$4,522
Level 4 Urology and Related Services	36	$31,116	$3,110
Level 3 Electrophysiologic Procedures	35	$306,352	$20,574
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	34	$57,431	$3,014
Level 4 Musculoskeletal Procedures	32	$103,323	$6,381
Level 3 Musculoskeletal Procedures	31	$33,578	$2,813
Level 3 Pacemaker and Similar Procedures	29	$143,910	$9,258
Level 1 Breast/Lymphatic Surgery and Related Procedures	28	$33,157	$3,400
Level 6 Musculoskeletal Procedures	27	$238,183	$16,588
Level 4 Airway Endoscopy	25	$55,110	$3,234
Level 2 Intraocular Procedures	25	$39,337	$3,511

Against the Indiana average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Northwest Health- Porter charged $115,774 on average, 83% more than the Indiana average of $63,232, and was paid $14,081 against a state average of $15,368. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Northwest Health- Porter charged $242,990 on average, 76% more than the Indiana average of $138,034, and was paid $22,532 against a state average of $24,860. For Heart Failure and Shock with MCC (DRG 291), Northwest Health- Porter charged $67,608 on average, 66% more than the Indiana average of $40,842, and was paid $8,955 against a state average of $10,315. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Northwest Health- Porter charged $81,660 on average, 87% more than the Indiana average of $43,683, and was paid $9,364 against a state average of $10,631. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $16,932 was 16% above the state average of $14,609. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $26,043 was 42% above the state average of $18,399. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $16,169 was 50% above the state average of $10,786. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $42,251 was 31% above the state average of $32,147.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Northwest Health- Porter in Valparaiso, IN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Warning Notice — 2024-09-26 (CMS case 2701)
Closure Notice — 2025-01-06 (CMS case 2701)

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.