CMS Price Transparency Data

Blood test, magnesium

Facility: Craig Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $399
  • Cash Discount Price: $275
  • vs. Medicare Baseline: 59.55x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Craig Hospital is $399. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $275. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 59.55x the Medicare baseline. Located in 3425 S Clarkson St, Englewood, CO.
Cash / Self-Pay
$275

Average discount available for prompt cash payment at this facility.

Insurance Median
$399

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: $275 (4104%)
Insurance Median: $399 (5955%)
Cash: $275 (4104% of Medicare)
Ins. Median: $399 (5955% 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 5955% of the Medicare baseline (a markup of 5855%). 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
Veterans Administration $6 90%
Cms $7 104%
UnitedHealthcare $7 - $479 104%
Cigna $244 - $486 3642%
Kaiser $251 - $500 3746%
Blue Cross Blue Shield $256 - $510 3821%
Carisk Outcomes $266 - $530 3970%
Zenith $288 - $574 4299%
Aetna $302 - $600 4507%
Corvel Worker'S Comp $310 - $618 4627%
Liberty Mutual Worker'S Comp $310 - $618 4627%
Paradigm $310 - $653 4627%
Rocky Mountain Health Plan $324 - $688 4836%
Midwest Employers Casualty $328 - $653 4896%
Coventry/First Health $333 - $662 4970%
Fcci Worker'S Comp $333 - $662 4970%
Geha/Ppo Usa $333 - $662 4970%
Great-West Healthcare $333 - $662 4970%
Multiplan/Phcs $333 - $697 4970%
Prime Health Services $337 - $671 5030%
First Choice Health $346 - $688 5164%
Focus Worker'S Comp $355 - $706 5299%
General Reinsurance $355 - $750 5299%
Provider Network Of America $355 - $706 5299%
Three Rivers Provider Network $355 - $724 5299%
Wyoming Worker'S Comp $355 - $706 5299%
Allstate $377 - $750 5627%
Tricare $377 - $750 5627%
National Provider Network $399 - $794 5955%
Up & Up $399 - $794 5955%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3425 S Clarkson St, Englewood, CO 80113
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL