CMS Price Transparency Data

Blood test, magnesium

Facility: West Valley Medical Center

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83735
Insurance Median: $87
Cash Discount Price: $141
vs. Medicare Baseline: 12.99x Medicare

The contracted insurance negotiated median rate for a Blood test, magnesium at West Valley Medical Center is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $141. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 12.99x the Medicare baseline. Located in 1717 Arlington Street, Caldwell, ID.

Cash / Self-Pay

$141

Average discount available for prompt cash payment at this facility.

Insurance Median

$87

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: $141 (2104%)

Insurance Median: $87 (1299%)

Cash: $141 (2104% of Medicare)

Ins. Median: $87 (1299% 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 1299% of the Medicare baseline (a markup of 1199%). 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 - $704	90%
Molina	$6 - $7	90%
Humana	$7 - $123	104%
Regence Blue Shield	$7	104%
St Luke'S Health Partners	$7	104%
United	$7 - $87	104%
Veteran'S Administration	$7	104%
Regence	$14	209%
Select Health Idaho (Eirmc Only)	$43 - $47	642%
Corizon Health	$50 - $54	746%
True Blue	$54 - $58	806%
Cigna	$76 - $82	1134%
Pacificsource Health	$81 - $87	1209%
Moda	$84 - $91	1254%
Aetna	$107 - $116	1597%
Four Rivers Hospice	$108 - $117	1612%
Multiplan	$108 - $117	1612%
Geha Ppo Usa	$115 - $124	1716%
Coventry First Health	$122 - $132	1821%
St Alphonsus Health	$122 - $132	1821%

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 $141.
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 West Valley Medical 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.