CMS Price Transparency Data

Blood test, magnesium

Facility: Boulder Community Health

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $71
  • Cash Discount Price: $89
  • vs. Medicare Baseline: 10.60x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Boulder Community Health is $71. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $89. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 10.60x the Medicare baseline. Located in 4747 Arapahoe Avenue, Boulder, CO.
Cash / Self-Pay
$89

Average discount available for prompt cash payment at this facility.

Insurance Median
$71

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: $89 (1328%)
Insurance Median: $71 (1060%)
Cash: $89 (1328% of Medicare)
Ins. Median: $71 (1060% 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 1060% of the Medicare baseline (a markup of 960%). 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 $3 - $191 45%
UnitedHealthcare $3 - $7 45%
Aetna $5 - $280 75%
Health Spring $5 75%
Humana $5 - $7 75%
Medicare (plans) $6 - $122 90%
Select Health Colorado Public Option $6 - $122 90%
Select Health Value Network $6 - $122 90%
Cigna $7 - $257 104%
Clear Spring $7 104%
Devoted Health $7 - $128 104%
Rocky Mountain Health Maintenance Organization $7 104%
Multiplan $11 - $225 164%
Phcs $11 - $225 164%
Kaiser Public Option $13 194%
Kaiser $16 239%
Kaiser Ppo $16 239%
Rocky Mountain Health Maintenance Organization Private Plan $52 - $225 776%
Integrated Health Plans Bch $56 - $241 836%
Casualty Management Network, Prime Health Services Behavioral Health $63 - $273 940%
Mines And Associates $63 - $273 940%
Three Rivers Provider Network $63 - $273 940%
Zelis (Profee) $63 - $273 940%
Casualty Management Network, Prime Health Services Community Medical Associates $67 - $289 1000%
National Preferred Provider Network $67 - $289 1000%
Rockport Healthcare Group Community Medical Associates $67 - $289 1000%
Usa $67 - $289 1000%
Rockport Healthcare Group Bch $69 - $299 1030%
Health Payors Organization $70 - $305 1045%
Health Management Network Bch Community Medical Associates $71 - $308 1060%
Health Management Network Community Medical Associates $71 - $308 1060%
National Provider Network $72 - $311 1075%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4747 Arapahoe Avenue, Boulder, CO 80304
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals