CMS Price Transparency Data

Blood test, magnesium

Facility: Scripps Memorial Hospital - Encinitas

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $12
  • Cash Discount Price: $16
  • vs. Medicare Baseline: 1.79x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Scripps Memorial Hospital - Encinitas is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 1.79x the Medicare baseline. Located in 354 Santa Fe Drive, Encinitas, CA.
Cash / Self-Pay
$16

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $16 (239%)
Insurance Median: $12 (179%)
Cash: $16 (239% of Medicare)
Ins. Median: $12 (179% 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
Radys Cpmg [803] $5 75%
Aetna $7 - $33 104%
Alignment Health Plan [443] $7 104%
Astiva Mcr Adv [464] $7 104%
Bc Mcr Adv [830] $7 104%
Blue Cross Blue Shield $7 - $17 104%
Bs Mcr Adv [829] $7 104%
Central Health Mcr Adv [441] $7 104%
Cigna $7 - $23 104%
Clever Care Mcr Adv [465] $7 104%
D-Snp Mcr Adv [889] $7 104%
Dsnp/Csnp - Generic [458] $7 104%
Family Health Centers Pace Mcr Adv Hmo [556] $7 104%
Family Health Centers Pace Medi-Cal [555] $7 104%
Gary And Mary West Pace Medi-Cal Hmo [557] $7 104%
Gpmg/Altura - Mcr Adv [888] $7 104%
Hn Mcr Adv [832] $7 104%
Humana $7 104%
Integrated Health Partners - Mcr Adv [895] $7 104%
Kaiser Northern Ca Region Mcr Adv [386] $7 104%
La Care Mcr Adv Hmo [612] $7 104%
Medicare (plans) $7 104%
Mpmg Mcr Adv [836] $7 104%
Mpmg [800] $7 104%
Ocn Mcr Adv [890] $7 104%
San Diego Pace Medi-Cal [553] $7 104%
Scan Mcr Adv [835] $7 104%
Scan [500] $7 104%
Scan [818] $7 104%
Sharp Comm Med Grp Mcr Adv [840] $7 104%
Sharp Health Plan Mcr Adv [531] $7 104%
Sharp Health Plan Mcr Adv [897] $7 104%
Sharp Rees Stealy Med Grp Mcr Adv [841] $7 104%
St Paul'S Pace Medi-Cal [551] $7 104%
Ucsd Mcr Adv [873] $7 104%
Uh Mcr Adv [831] $7 104%
Uh Palomar Health Mcr Adv [885] $7 104%
UnitedHealthcare $7 - $23 104%
Health Net [340] $11 - $22 164%
Mc Alignment [917] $11 164%
Mc Blue Shield Promise Health Plan [914] $11 164%
Mc Blue Shield [902] $11 164%
Mc Health Net [904] $11 164%
Mc Scan [905] $11 164%
Mc United [906] $11 164%
Prime Healthcare [614] $11 164%
Prospect Med Group [893] $12 179%
Bc [814] $15 224%
Centivo [581] $15 224%
Imperial County Phys Med Group [855] $15 - $22 224%
Integrated Health Partners [894] $15 224%
Perlman Med Group [899] $15 224%
Sharp Comm Med Grp [812] $15 - $30 224%
Sharp Rees Stealy Med Grp [811] $15 - $30 224%
Ucsd [807] $15 - $30 224%
Blue Shield [230] $22 - $24 328%
Bs [816] $22 - $23 328%
Hn [815] $22 328%
Uh [819] $23 343%
Rady Children'S Hospital [825] $27 403%
Palomar Health [892] $30 448%
Veba Med Grp [813] $30 448%
Kaiser Northern Ca Region Hmo/Ppo [384] $37 552%
Kaiser [380] $37 552%
Kaiser [383] $37 552%
Multi Plan Network [470] $47 701%
First Health Network [330] $49 731%
Pnoa [615] $49 731%
Choice Care Network [270] $53 791%
Healthsmart [350] $53 791%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 354 Santa Fe Drive, Encinitas, CA 92024
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals