CMS Price Transparency Data

Blood test, magnesium

Facility: Saint Mary's Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $14
  • Cash Discount Price: $31
  • vs. Medicare Baseline: 2.09x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Saint Mary's Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $31. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 2.09x the Medicare baseline. Located in 56 Franklin Street, Waterbury, CT.
Cash / Self-Pay
$31

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $31 (463%)
Insurance Median: $14 (209%)
Cash: $31 (463% of Medicare)
Ins. Median: $14 (209% 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 209% of the Medicare baseline (a markup of 109%). 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 $6 - $8 90%
Aetna $7 - $12 104%
Cca Senior Care Options $7 104%
Cigna $7 - $49 104%
Connecticare $7 - $8 104%
Geha $7 104%
Harvard Pilgrim Healthcare $7 104%
Medicare (plans) $7 104%
UnitedHealthcare $7 - $61 104%
Bcn Domestic $8 119%
Blue Benefit Administrators of Massachusetts $8 119%
Blue Care Network $8 119%
Blue Distinction Transplant $8 119%
Blue Shield - Ca $8 119%
Blue Shield - Id (Regence) $8 119%
Blue Shield - Ny Highmark Northeastern $8 119%
Blue Shield - Ny Highmark Western $8 119%
Blue Shield - PA (Highmark) $8 119%
Blue Shield - Wa (Regence) $8 119%
Centivo $8 119%
Health Choices $8 119%
Kaiser Domestic $8 119%
Pre-Employment $8 119%
Unicare $8 119%
Wc Domestic $8 119%
Wellpoint $8 119%
1199 National Benefit Fund $12 179%
Allied Benefit Systems $12 179%
Gravie Admin Services $12 179%
Hap $12 179%
Luminare Health $12 179%
Meritain $12 179%
Nippon Life Ins $12 179%
Webtpa $12 179%
Connecticut Dept of Correction $13 - $15 194%
Allegiance $14 209%
Claimdoc $14 209%
Diversified Administrators $14 209%
Health Partners $14 209%
Innovative Health Plan II $14 209%
Magnacare $14 209%
Carelon Behavioral Health $26 - $30 388%
Health New England $28 - $32 418%
Allied National Global Care $40 - $47 597%
Asrm - Reliance Standard Life Insurance $40 - $47 597%
Christian Care Ministry $40 - $47 597%
Dean Health $40 - $47 597%
Fallon Health $40 - $47 597%
Family Life Insurance Company $40 - $47 597%
Ghc Scw $40 - $47 597%
International Benefit Administrators $40 - $47 597%
Lifetime Benefit Solutions $40 - $47 597%
Manhattan Life $40 - $47 597%
Medi Share $40 - $47 597%
Multiplan $40 - $47 597%
Mvp $40 - $47 597%
PHCS $40 - $47 597%
Pai $40 - $47 597%
Pan-American Life $40 - $47 597%
Paramount HMO $40 - $47 597%
Trinity Health Share $40 - $47 597%
Prime Health Services $42 - $49 627%
Health Smart $44 - $52 657%
United Behavioral Health Eap $52 - $61 776%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 56 Franklin Street, Waterbury, CT 06706
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals