CMS Price Transparency Data

Blood test, magnesium

Facility: North Shore Medical Center

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $8
  • Cash Discount Price: $258
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at North Shore Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $258. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 1.19x the Medicare baseline. Located in 1100 Nw 95Th St, Miami, FL.
Cash / Self-Pay
$258

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $258 (3851%)
Insurance Median: $8 (119%)
Cash: $258 (3851% of Medicare)
Ins. Median: $8 (119% 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
Cigna $3 - $129 45%
Humana $3 - $103 45%
Medicaid / KanCare $3 - $258 45%
UnitedHealthcare $3 - $7 45%
Veterans Administration Mill Bill $5 75%
Avmed Broad Network $6 90%
Medicare (plans) $6 - $258 90%
Aetna $7 - $186 104%
Devoted Health $7 104%
Employer Direct Healthcare $7 - $8 104%
Healthsun Health Plans $7 104%
Hospice Other $7 104%
Leon Health Inc $7 104%
Longevity Health Plan $7 104%
Tricare $7 104%
Veterans Administration Vaccn $7 104%
Bright Health Management Commercial $8 119%
Centurion Prison $8 119%
Florida Pace Centers $8 119%
Imagine Health $8 119%
Oscar Health Plan Hix $8 119%
Self Pay/Uninsured $8 119%
Dimension Health Wc $10 149%
Workers Compensation $10 149%
Ambetter / Centene $12 179%
Avmed Exchange $12 179%
Auto Insurance $13 194%
Molina Marketplace Program Exchange $13 194%
Amerihealth Caritas Next Exchange $14 209%
Avmed Select Network $14 209%
Bc/Bs Myblue Hmo Hix $32 478%
Bc/Bs Of Fl Network Blue $34 507%
Bc/Bs Of Fl Ppo $34 507%
Bc/Bs Of Fl Simplyblue $34 507%
Bc/Bs Of Fl Blue Select Exchange Non Par $37 552%
Bc/Bs Of Fl Health Options Hmo $37 552%
Bc/Bs Of Fl Phs $134 2000%
Magellan Behavioral Health $155 2313%
Dimensions International $168 2507%
First Health $176 2627%
Dimension Health Ppo $194 2896%
Beacon Health Strategies Commercial $258 3851%
Commercial Non-Contracted $258 3851%
Self Pay - Mcd Pending 100 Percent $258 3851%
Single Case Agreement $258 3851%
United Behavioral Health Psych $258 3851%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 Nw 95Th St, Miami, FL 33150
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals