CMS Price Transparency Data

Blood test, magnesium

Facility: Piedmont Newton Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83735
Insurance Median: $13
Cash Discount Price: $45
vs. Medicare Baseline: 1.94x Medicare

The contracted insurance negotiated median rate for a Blood test, magnesium at Piedmont Newton Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $45. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 1.94x the Medicare baseline. Located in 5126 Hospital Drive Ne, Covington, GA.

Cash / Self-Pay

$45

Average discount available for prompt cash payment at this facility.

Insurance Median

$13

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: $45 (672%)

Insurance Median: $13 (194%)

Cash: $45 (672% of Medicare)

Ins. Median: $13 (194% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Medicaid / KanCare	$4 - $7	60%
UnitedHealthcare	$6	90%
Blue Cross Blue Shield	$9	134%
Cigna	$11 - $15	164%
First Health [10303]	$105	1567%
Kaiser [10500]	$112	1672%
Novanet [10819]	$112	1672%
Phcs [10601]	$123	1836%
Beechstreet [10800]	$128	1910%
Multiplan [10600]	$128	1910%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $45.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 83735.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Piedmont Newton Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 83735.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.