CMS Price Transparency Data

Blood test, magnesium

Facility: Banner Gateway Medical Center

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $16
  • Cash Discount Price: $12
  • vs. Medicare Baseline: 2.39x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Banner Gateway Medical Center is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 2.39x the Medicare baseline. Located in 1900 North Higley Road, Gilbert, AZ.
Cash / Self-Pay
$12

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $12 (179%)
Insurance Median: $16 (239%)
Cash: $12 (179% of Medicare)
Ins. Median: $16 (239% 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 239% of the Medicare baseline (a markup of 139%). 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
Aetna $7 - $70 104%
Arizona Physicians Ipa $7 104%
Arizona Priority Care $7 104%
Banner Health $7 104%
Banner University Health Plan $7 104%
Blue Cross Blue Shield $7 - $31 104%
Care 1St $7 104%
Carekin $7 104%
Cigna $7 - $14 104%
Devoted Health Services $7 104%
Gila River Health Care Corporation $7 104%
Gold Kidney Health Plan $7 104%
Health Choice Arizona, Inc. $7 - $10 104%
Health Net $7 - $10 104%
Hospice Of The Valley $7 - $46 104%
Humana $7 104%
Kaiser Foundation Health Plan $7 104%
Mercy Care $7 104%
Triwest Healthcare Alliance Corp - Va Ccn $7 104%
UnitedHealthcare $7 - $15 104%
Upmc Health Plan $7 104%
Wellpoint (Fka Amerigroup) $7 104%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $9 - $59 134%
Plotkin Health $9 - $59 134%
Oscar Health Plan $11 164%
Quiktrip Corporation $11 - $71 164%
Arizona Medical Network $15 - $92 224%
Provider Network Of America $16 - $99 239%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1900 North Higley Road, Gilbert, AZ 85234
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals