CMS Price Transparency Data

Blood test, magnesium

Facility: PAM Health Specialty Hospital of Jacksonville

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $71
  • Cash Discount Price: $95
  • vs. Medicare Baseline: 10.60x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at PAM Health Specialty Hospital of Jacksonville is $71. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $95. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 10.60x the Medicare baseline. Located in 4901 Richard St, Jacksonville, FL.
Cash / Self-Pay
$95

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: $95 (1418%)
Insurance Median: $71 (1060%)
Cash: $95 (1418% 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
America'S Choice Ppo $66 985%
Innovative Healthcare $66 985%
Quik Trip $71 1060%
Usa Managed Care Organization $71 1060%
Velocity Provider Ppo Network $71 1060%
Prime Health Services $81 1209%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4901 Richard St, Jacksonville, FL 32207
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL