CMS Price Transparency Data

Blood test, magnesium

Facility: Valley Children's Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $9
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.34x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Valley Children's Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 1.34x the Medicare baseline. Located in 9300 Valley Childrens Place, Madera, CA.
Cash / Self-Pay
Unavailable

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%)
Insurance Median: $9 (134%)
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
Health Net $2 - $62 30%
Allcare Ipa $3 - $9 45%
Central Valley Medical Providers Ipa $3 - $48 45%
Dignity Health Central Coast $3 - $47 45%
United Physicians Network Ipa $3 - $15 45%
Aetna $4 - $64 60%
Blue Cross Blue Shield $4 - $66 60%
Blue Shield $4 - $72 60%
Community Health $4 - $52 60%
Dignity (Formerly Managed Care Systems) $4 - $60 60%
Fowler Packing $4 - $59 60%
Health Plan Of San Joaquin $4 - $57 60%
Kaiser $4 - $62 60%
Kern Legacy $4 - $62 60%
Physicians Choice Medical Group $4 - $53 60%
Stanislaus Partners In Health $4 - $52 60%
UnitedHealthcare $4 - $351 60%
Bakersfield Family Medical Group $5 - $71 75%
Community Care Health Plan $5 - $76 75%
First Health Formerly Coventry $5 - $70 75%
Health Smart $5 - $76 75%
Key Medical Ipa $5 - $76 75%
Network By Design $5 - $74 75%
Multiplan $6 - $91 90%
Sutter Health $6 - $81 90%
Central California Alliance For Health $13 194%
Dignity Ipa_Formerly Img $13 194%
La Salle Ipa $13 194%
Sante Ipa $13 194%
Sequoia Health Ipa $14 209%
Univseral Healthcare Ipa $14 209%
Community Care Ipa $15 224%
Adventist $17 254%
Cencal Health $19 284%
Kern Family Health Care $19 284%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9300 Valley Childrens Place, Madera, CA 93636
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens