CMS Price Transparency Data

Blood test, magnesium

Facility: Fishermen's Community Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $20
  • Cash Discount Price: $96
  • vs. Medicare Baseline: 2.99x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Fishermen's Community Hospital is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $96. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 2.99x the Medicare baseline. Located in 3301 Overseas Hwy, Marathon, FL.
Cash / Self-Pay
$96

Average discount available for prompt cash payment at this facility.

Insurance Median
$20

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: $96 (1433%)
Insurance Median: $20 (299%)
Cash: $96 (1433% of Medicare)
Ins. Median: $20 (299% 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 299% of the Medicare baseline (a markup of 199%). 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
Aetna $3 - $208 45%
Amerigroup $3 45%
Medicaid / KanCare $3 45%
Sunshine State $3 45%
UnitedHealthcare $3 - $272 45%
Vista $3 45%
Wellcare $3 45%
Blue Cross Blue Shield $4 - $272 60%
Avmed $5 - $225 75%
Cigna $5 - $218 75%
Humana $5 - $62 75%
Leon Medical $5 - $57 75%
Medica Health Plan $5 - $57 75%
Medicare (plans) $5 - $77 75%
Non Contracted $8 - $100 119%
International $14 - $177 209%
Amerihealth $16 - $204 239%
Dimension Health Plan $16 - $245 239%
Affordable $20 - $245 299%
Phcs $20 - $245 299%
Quality Health $20 - $245 299%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3301 Overseas Hwy, Marathon, FL 33050
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals