CMS Price Transparency Data

Blood test, magnesium

Facility: Good Samaritan Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $9
  • Cash Discount Price: $77
  • vs. Medicare Baseline: 1.34x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Good Samaritan Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $77. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 1.34x the Medicare baseline. Located in 2425 Samaritan Drive, San Jose, CA.
Cash / Self-Pay
$77

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $77 (1149%)
Insurance Median: $9 (134%)
Cash: $77 (1149% of Medicare)
Ins. Median: $9 (134% 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.

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
Medcare Partners $1 - $173 15%
Santa Clara Family Health Plan $1 - $219 15%
Health Net $2 - $268 30%
United $2 - $294 30%
Nx Health Network $4 - $691 60%
Sutter Select $4 - $691 60%
Humana $5 - $806 75%
Multiplan $5 - $921 75%
Cigna $6 - $921 90%
First Health $6 - $1,152 90%
Healthsmart $6 - $921 90%
Intercontinental Corporation $6 - $921 90%
Pha Pacific Health Alliance $6 - $921 90%
Ppo Next $6 - $921 90%
Aetna $7 - $34 104%
Affinity Medical Group $7 104%
Alignment Health Plan $7 104%
Blue Cross Blue Shield $7 - $35 104%
Blue Shield $7 - $12 104%
Care1St Health Plan $7 104%
Central Health Plan $7 104%
Clever Care Of Golden State $7 104%
Easy Choice Health Plan $7 104%
Managed Health Network $7 104%
On Lok Senior Health $7 104%
Palo Alto Medical $7 - $9 104%
Scan Health Plan $7 104%
Triwest Healthcare Alliance $7 104%
University Healthcare $7 104%
Vitality Health Plan $7 104%
Corvel Corporation $8 119%
Physicians Medical Group $8 119%
Affinity Medical Group Comm $9 134%
Canopy $12 179%
Bright Health $13 194%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2425 Samaritan Drive, San Jose, CA 95124
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals