CMS Price Transparency Data

Blood test, magnesium

Facility: Audubon County Memorial Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $60
  • Cash Discount Price: $69
  • vs. Medicare Baseline: 8.96x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Audubon County Memorial Hospital is $60. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $69. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 8.96x the Medicare baseline. Located in 515 Pacific Avenue, Audubon, IA.
Cash / Self-Pay
$69

Average discount available for prompt cash payment at this facility.

Insurance Median
$60

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: $69 (1030%)
Insurance Median: $60 (896%)
Cash: $69 (1030% of Medicare)
Ins. Median: $60 (896% 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 896% of the Medicare baseline (a markup of 796%). 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 $30 448%
Wellmark Ppo - All Other Plans $34 507%
Aetna $50 - $62 746%
Tricare $50 746%
UnitedHealthcare $59 881%
Midlands Choice - All Plans $68 1015%
Molina Mcaid - All Plans $69 1030%
Iowa Total Care Mcaid - All Plans $70 1045%
Amerigroup Mcaid - All Plans $72 1075%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 515 Pacific Avenue, Audubon, IA 50025
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals