CMS Price Transparency Data

Blood test, magnesium

Facility: Jefferson County Health Center

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $25
  • Cash Discount Price: $36
  • vs. Medicare Baseline: 3.73x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Jefferson County Health Center is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $36. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 3.73x the Medicare baseline. Located in 2000 S Main, Fairfield, IA.
Cash / Self-Pay
$36

Average discount available for prompt cash payment at this facility.

Insurance Median
$25

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: $36 (537%)
Insurance Median: $25 (373%)
Cash: $36 (537% of Medicare)
Ins. Median: $25 (373% 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 373% of the Medicare baseline (a markup of 273%). 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
UnitedHealthcare $2 - $67 30%
Amerigroup Mcr Adv $9 - $30 134%
Humana $9 - $30 134%
Iowa Total Care Comm - All Other Plans $9 - $30 134%
Iowa Total Care Mcr $9 - $30 134%
Molina Mcr Adv $9 - $30 134%
Tricare $9 - $29 134%
Iowa Total Care Mcaid $10 - $31 149%
Medicaid / KanCare $10 - $32 149%
Molina Mcaid/Chip $10 - $31 149%
Aetna $11 - $67 164%
Medicare (plans) $11 - $36 164%
Midlands New Product $19 - $61 284%
Coventry Commercial Hmo $20 - $63 299%
Coventry Commercial Ppo - All Other Plans $21 - $67 313%
Midlands Choice-All Other Plans $21 - $67 313%
Molina Marketplace - All Other Plans $23 - $74 343%
Wellmark Hmo $23 343%
Wellmark Indemnity/Ppo - All Other Plans $26 388%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2000 S Main, Fairfield, IA 52556
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals