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Short Term Acute Care HospitalProprietary

Northwest Health - Starke

Northwest Health (IN) ยท Knox, IN

102 East Culver Road, Knox, IN 46534(574) 772-1102

27

In-network payers

129

Disclosed rate categories

15

Beds

3

Care quality

About this hospital

Northwest Health - Starke is a 15-bed proprietary hospital in Knox, IN, affiliated with Northwest Health (IN). Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 129 disclosed rate categories.

CCN (Medicare provider number)

150102

NPI

1679948319

Type

Short Term Acute Care Hospital

Ownership

Proprietary

Beds

15

Care Quality

3

Insurance Accepted

Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.

Medicare
Aetna
BCBS
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

Prices for common services

The 24 services Northwest Health - Starke most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data.

Medicine & Surgery

Cataract removal with lens insertion

CPT 66984

$766 - $20,799

from 3 insurers ยท median $17,566

UnitedHealthcare$17,566
Insurer A*$766
Insurer B*$20,799
Medicare $2,124Nearby hospitals $3,130461% above nearby hospitals

28 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$426 - $15,058

from 3 insurers ยท median $12,717

Blue Cross$426
Insurer A*$12,717
Insurer B*$15,058
Medicare $1,101Nearby hospitals $3,115308% above nearby hospitals

Common here, based on CMS Medicare volume

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$422 - $16,934

from 3 insurers ยท median $14,302

Blue Cross$422
Insurer A*$14,302
Insurer B*$16,934
Medicare $835Nearby hospitals $1,848674% above nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$306 - $2,881

from 4 insurers ยท median $1,517

Aetna$306
Insurer A*$601
Insurer B*$2,433
Insurer C*$2,881
Medicare $321Nearby hospitals $96258% above nearby hospitals

Common here, based on CMS Medicare volume

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$237 - $2,663

from 4 insurers ยท median $1,844

Blue Cross$1,440
Insurer A*$237
Insurer B*$2,249
Insurer C*$2,663
Medicare $503Nearby hospitals $1,62813% above nearby hospitals

Common here, based on CMS Medicare volume

Digestive procedures

Diagnostic colonoscopy

CPT 45378

$298 - $12,281

from 3 insurers ยท median $10,372

Blue Cross$298
Insurer A*$10,372
Insurer B*$12,281
Medicare $856Nearby hospitals $2,487317% above nearby hospitals

Common here, based on CMS Medicare volume

Digestive procedures

Colonoscopy with biopsy

CPT 45380

$346 - $14,963

from 4 insurers ยท median $6,558

Blue Cross$478
Insurer A*$346
Insurer B*$12,638
Insurer C*$14,963
Medicare $1,101Nearby hospitals $2,958122% above nearby hospitals

Common here, based on CMS Medicare volume

Nuclear imaging

Nuclear imaging of blood flow to the heart, multiple studies

CPT 78452

$446 - $4,047

from 4 insurers ยท median $3,420

Aetna$446
Insurer A*$3,418
Insurer B*$3,422
Insurer C*$4,047
Medicare $1,192Nearby hospitals $2,81921% above nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery ยท Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$28,270 - $51,884

from 2 insurers ยท median $40,077

UnitedHealthcare$28,270
Insurer A*$51,884
Medicare $27,950Nearby hospitals $41,136In line with nearby hospitals

Hospital reports orthopedic surgery services to CMS

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$214 - $2,561

from 4 insurers ยท median $1,323

Aetna$214
Insurer A*$483
Insurer B*$2,163
Insurer C*$2,561
Medicare $220Nearby hospitals $73780% above nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery

Arthroscopic knee meniscectomy

CPT 29881

$32,157 - $38,075

from 2 insurers ยท median $35,116

UnitedHealthcare$32,157
Insurer A*$38,075
Medicare $3,012Nearby hospitals $3,932793% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT angiography of chest blood vessels

CPT 71275

$296 - $3,201

from 4 insurers ยท median $1,531

Aetna$296
Insurer A*$359
Insurer B*$2,704
Insurer C*$3,201
Medicare $161Nearby hospitals $640139% above nearby hospitals

Common here, based on CMS Medicare volume

Mammography

Screening mammography, bilateral

CPT 77067

$132 - $425

from 4 insurers ยท median $249

UnitedHealthcare$359
Insurer A*$132
Insurer B*$140
Insurer C*$425
Medicare $83Nearby hospitals $2356% above nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery

Arthroscopic shoulder decompression

CPT 29826

$180 - $59,482

from 3 insurers ยท median $50,488

UnitedHealthcare$50,488
Insurer A*$180
Insurer B*$59,482
Nearby hospitals $1,0514703% above nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT of the chest, with contrast

CPT 71260

$194 - $2,881

from 4 insurers ยท median $1,368

Aetna$194
Insurer A*$302
Insurer B*$2,433
Insurer C*$2,881
Medicare $161Nearby hospitals $498175% above nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery ยท Inpatient

Cervical spinal fusion without CC or MCC

MS-DRG 473

$19,088 - $33,163

from 2 insurers ยท median $26,126

UnitedHealthcare$19,088
Insurer A*$33,163
Medicare $16,162Nearby hospitals $26,015In line with nearby hospitals

Hospital reports orthopedic surgery services to CMS

Orthopedics and pain

Open carpal tunnel release

CPT 64721

$25,203 - $29,841

from 2 insurers ยท median $27,522

Cigna$29,841
Insurer A*$25,203
Medicare $1,797Nearby hospitals $3,364718% above nearby hospitals

Typical for a hospital with this service line

Nuclear imaging

PET/CT tumor imaging from skull base to thigh

CPT 78815

$1,482 - $4,782

from 4 insurers ยท median $3,915

Aetna$1,482
Insurer A*$3,808
Insurer B*$4,022
Insurer C*$4,782
Medicare $1,316Nearby hospitals $3,28419% above nearby hospitals

Common here, based on CMS Medicare volume

MRI imaging

MRI brain before and after contrast

CPT 70553

$373 - $3,842

from 4 insurers ยท median $1,919

Cigna$3,842
Insurer A*$373
Insurer B*$593
Insurer C*$3,245
Medicare $321Nearby hospitals $933106% above nearby hospitals

Common here, based on CMS Medicare volume

X-ray and bone density

Chest X-ray, two views

CPT 71046

$28 - $459

from 4 insurers ยท median $211

Aetna$35
Insurer A*$28
Insurer B*$387
Insurer C*$459
Medicare $80Nearby hospitals $17819% above nearby hospitals

Common here, based on CMS Medicare volume

MRI imaging

MRI lumbar spine without contrast

CPT 72148

$224 - $3,201

from 4 insurers ยท median $1,668

Cigna$3,201
Insurer A*$224
Insurer B*$633
Insurer C*$2,704
Medicare $220Nearby hospitals $699139% above nearby hospitals

Common here, based on CMS Medicare volume

Ultrasound

Limited ultrasound of the abdomen

CPT 76705

$91 - $1,319

from 4 insurers ยท median $604

Blue Cross$94
Insurer A*$91
Insurer B*$1,114
Insurer C*$1,319
Medicare $96Nearby hospitals $250141% above nearby hospitals

Common here, based on CMS Medicare volume

MRI imaging

MRI of the brain, without contrast

CPT 70551

$229 - $3,201

from 4 insurers ยท median $1,554

Cigna$3,201
Insurer A*$229
Insurer B*$405
Insurer C*$2,704
Medicare $220Nearby hospitals $689126% above nearby hospitals

Common here, based on CMS Medicare volume

Orthopedics and pain

Aspiration or injection of a major joint, without ultrasound

CPT 20610

$2,275 - $2,694

from 2 insurers ยท median $2,485

Cigna$2,694
Insurer A*$2,275
Medicare $283Nearby hospitals $659277% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Northwest Health - Starke

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*22
1139%
20
Insurer B*24
962%
220
Insurer C*20
167%
316
Insurer D*15
90%
015

How we chose these services: 1 appear in this hospital's own Medicare claims, 19 are common here based on CMS Medicare volume, and 4 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Northwest Health - Starke.

Location

102 East Culver Road, Knox, IN 46534

(574) 772-1102

Get directions

Frequently asked questions

About Northwest Health - Starke's rates and hospital price transparency.

How much does an MRI cost at Northwest Health - Starke?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Northwest Health - Starke range from $373 to $3,842 across 4 insurers. Cigna's rate is $3,842. The median at nearby comparable hospitals is $933. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Northwest Health - Starke?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Northwest Health - Starke range from $306 to $2,881 across 4 insurers. Aetna's rate is $306. The median at nearby comparable hospitals is $962. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Northwest Health - Starke?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Northwest Health - Starke range from $426 to $15,058 across 3 insurers. Blue Cross Blue Shield's rate is $426. The median at nearby comparable hospitals is $3,115. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Northwest Health - Starke?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Northwest Health - Starke range from $132 to $425 across 4 insurers. UnitedHealthcare's rate is $359. The median at nearby comparable hospitals is $235. What a patient pays depends on their plan's deductible, coinsurance and network status.

How many beds does Northwest Health - Starke have?

Northwest Health - Starke has 15 beds. Facility type: Short Term Acute Care Hospital.

Where is Northwest Health - Starke and what is its phone number?

Northwest Health - Starke is located at 102 East Culver Road, Knox, IN 46534. Its main phone number is (574) 772-1102.

What is Northwest Health - Starke's CCN (Medicare provider number)?

Northwest Health - Starke's CMS Certification Number (CCN), also called its Medicare provider number, is 150102.

What is Northwest Health - Starke's NPI number?

The National Provider Identifier (NPI) on file for Northwest Health - Starke is 1679948319.

What health system is Northwest Health - Starke part of?

Northwest Health - Starke is affiliated with Northwest Health (IN).

Which insurance plans are in network at Northwest Health - Starke?

Northwest Health - Starke lists 27 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.

For hospital finance and compliance teams

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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

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Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
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