CMS Price Transparency Data

Blood test, magnesium

Facility: Grandview Medical Center

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $69
  • Cash Discount Price: $45
  • vs. Medicare Baseline: 10.30x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Grandview Medical Center is $69. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $45. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 10.30x the Medicare baseline. Located in 3690 Grandview Parkway, Birmingham, AL.
Cash / Self-Pay
$45

Average discount available for prompt cash payment at this facility.

Insurance Median
$69

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$6.7

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $6.7 (100%)
Cash / Self-Pay: $45 (672%)
Insurance Median: $69 (1030%)
Cash: $45 (672% of Medicare)
Ins. Median: $69 (1030% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $6.7 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1030% of the Medicare baseline (a markup of 930%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Medicaid / KanCare $5 75%
Tricare $5 75%
Bc Pml $6 90%
Node Champva $6 90%
UnitedHealthcare $6 - $104 90%
Aetna $7 - $8 104%
Blue Advantage $7 104%
Cigna $7 - $13 104%
Hospice $7 104%
Humana $7 104%
Medicare (plans) $7 104%
Node Clover Health Mcr Adv $7 104%
Node Devoted Health Mcr Adv $7 104%
Node Va $7 104%
Node Wellcare Mcr Adv $7 104%
Select Health $7 104%
Veterans Eval Services $7 104%
Victory Health $7 104%
Viva Health $7 - $126 104%
Blue Cross Blue Shield $8 119%
Node Us Dept Of Labor $8 119%
Ambetter / Centene $10 149%
Healthspring $12 179%
Self Pay $34 - $55 507%
Bp Health Advocate $58 866%
Ag Administrators $80 1194%
Alamed $80 1194%
Choicecare $80 1194%
Drummond $80 1194%
American Employee Alliance $92 1373%
Healthchoice $115 - $138 1716%
Value Options $115 1716%
First Health $138 - $180 2060%
Multiplan $140 - $161 2090%
Blue Bell Creameries $161 2403%
Natl Comp Care $172 2567%
Usa Ppo $172 2567%
Coventry Work Comp Al $180 2687%
Novanet $186 2776%
Alabama Wc $196 2925%
Cal-Med $196 2925%
Corvel $196 2925%
Associated Admin $207 3090%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3690 Grandview Parkway, Birmingham, AL 35243
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals