CMS Price Transparency Data

Blood test, magnesium

Facility: Adventist Health Clearlake

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $53
  • Cash Discount Price: $54
  • vs. Medicare Baseline: 7.91x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Adventist Health Clearlake is $53. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $54. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 7.91x the Medicare baseline. Located in 15630 18Th Ave - Hwy 53, Clearlake, CA.
Cash / Self-Pay
$54

Average discount available for prompt cash payment at this facility.

Insurance Median
$53

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: $54 (806%)
Insurance Median: $53 (791%)
Cash: $54 (806% of Medicare)
Ins. Median: $53 (791% 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 791% of the Medicare baseline (a markup of 691%). 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
Blue Cross Blue Shield $1 - $78 15%
Blue Shield Mcr Adv $1 - $47 15%
Kaiser Mcr Adv $1 - $47 15%
Tricare $1 - $47 15%
Ah Employee Health Plan - All Plans $2 - $93 30%
Aetna $4 - $166 60%
Western Growers- All Plans $4 - $166 60%
Blue Shield Epn - All Other Plans $5 - $170 75%
Blue Shield Non-Epn $5 - $170 75%
Cigna $5 - $200 75%
First Health- All Plans $5 - $178 75%
Foundation- All Plans $5 - $189 75%
Health Mgmt Network- All Plans $5 - $189 75%
Healthnet- All Plans $5 - $182 75%
Humana $5 - $189 75%
Interplan- All Plans $5 - $200 75%
Kaiser- All Other Plans $5 - $200 75%
Phcs- All Plans $5 - $189 75%
Three Rivers Provider Network- All Plans $5 - $200 75%
UnitedHealthcare $5 - $185 75%
Bc Managed Mcal $6 - $8 90%
Medi-Cal $6 - $8 90%
Partnership Mcal - All Plans $6 - $8 90%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 15630 18Th Ave - Hwy 53, Clearlake, CA 95422
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals