CMS Price Transparency Data

Blood test, magnesium

Facility: Kossuth Regional Health Center

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83735
Insurance Median: $55
Cash Discount Price: $58
vs. Medicare Baseline: 8.21x Medicare

The contracted insurance negotiated median rate for a Blood test, magnesium at Kossuth Regional Health Center is $55. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $58. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 8.21x the Medicare baseline. Located in 1515 South Phillips Street, Algona, IA.

Cash / Self-Pay

$58

Average discount available for prompt cash payment at this facility.

Insurance Median

$55

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: $58 (866%)

Insurance Median: $55 (821%)

Cash: $58 (866% of Medicare)

Ins. Median: $55 (821% 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 821% of the Medicare baseline (a markup of 721%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$6 - $7	90%
Amerigroup Mcr Adv - All Other Plans	$22 - $38	328%
Humana	$22 - $38	328%
Mercy One - All Plans	$22 - $38	328%
Va Ccn - All Plans	$22 - $38	328%
UnitedHealthcare	$23 - $75	343%
Health Partners New Bus - All Other Plans	$41 - $69	612%
Midlands Choice - All Plans	$41 - $69	612%
Medical Associates - All Plans	$49 - $84	731%
Preferred Health - All Plans	$49 - $84	731%
Aetna	$54 - $96	806%
Multiplan - All Plans	$55 - $94	821%
Health Partners Exisiting Bus	$56 - $96	836%
Molina Mcaid/Chip - All Plans	$59 - $101	881%
Amerigroup Mcaid	$60 - $103	896%

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 $58.
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 Kossuth Regional Health Center 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.