CMS Price Transparency Data

Blood test, magnesium

Facility: Loring Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $39
  • Cash Discount Price: $42
  • vs. Medicare Baseline: 5.82x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Loring Hospital is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $42. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 5.82x the Medicare baseline. Located in 211 Highland Avenue Po Box 217, Sac City, IA.
Cash / Self-Pay
$42

Average discount available for prompt cash payment at this facility.

Insurance Median
$39

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: $42 (627%)
Insurance Median: $39 (582%)
Cash: $42 (627% of Medicare)
Ins. Median: $39 (582% 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 582% of the Medicare baseline (a markup of 482%). 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
Meritain $10 149%
Bas $16 239%
Aetna $20 - $52 299%
Auxiant $26 388%
Blue_Cross $31 - $52 463%
Champva $31 463%
Health_Partners $31 463%
Admin_Concepts $33 493%
UnitedHealthcare $36 - $52 537%
Champus $39 582%
Va $39 582%
Humana $46 - $52 687%
Healthscope $47 701%
Midlands_Choice $49 731%
Cigna $50 746%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 211 Highland Avenue Po Box 217, Sac City, IA 50583
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals