CMS Price Transparency Data

Blood test, magnesium

Facility: Veterans Memorial Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $44
  • Cash Discount Price: $59
  • vs. Medicare Baseline: 6.57x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Veterans Memorial Hospital is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $59. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 6.57x the Medicare baseline. Located in 40 1St Street Se, Waukon, IA.
Cash / Self-Pay
$59

Average discount available for prompt cash payment at this facility.

Insurance Median
$44

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: $59 (881%)
Insurance Median: $44 (657%)
Cash: $59 (881% of Medicare)
Ins. Median: $44 (657% 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 657% of the Medicare baseline (a markup of 557%). 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
Wellmark Hmo - All Other Plans $5 75%
Wellmark Ppo $6 90%
Amerigroup Mcaid - All Other Plans $7 104%
Amerigroup Mcr Adv $44 657%
Humana $44 - $77 657%
Iowa Total Care Exchange $44 657%
Iowa Total Care Mcr Adv $44 657%
Medica Mcr Adv $44 657%
Molina Mcr Adv $44 657%
Quartz Mcr Adv $44 657%
UnitedHealthcare $44 - $88 657%
Welmark Mcr Adv $44 657%
Iowa Total Care Mcaid - All Other Plans $53 791%
Molina Mcaid - All Other Plans $53 791%
Quartz Comm - All Other Plans $77 1149%
Medica Comm - All Other Plans $82 1224%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 40 1St Street Se, Waukon, IA 52172
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals