CMS Price Transparency Data

Blood test, magnesium

Facility: Clearwater Valley Hospital & Clinics

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83735
Insurance Median: $65
Cash Discount Price: $73
vs. Medicare Baseline: 9.70x Medicare

The contracted insurance negotiated median rate for a Blood test, magnesium at Clearwater Valley Hospital & Clinics is $65. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $73. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 9.70x the Medicare baseline. Located in 301 Cedar Street, Orofino, ID.

Cash / Self-Pay

$73

Average discount available for prompt cash payment at this facility.

Insurance Median

$65

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: $73 (1090%)

Insurance Median: $65 (970%)

Cash: $73 (1090% of Medicare)

Ins. Median: $65 (970% 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 970% of the Medicare baseline (a markup of 870%). 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	$26 - $88	388%
Aetna	$40 - $112	597%
Humana	$40 - $116	597%
Pacific Source - All Plans	$40 - $65	597%
Regence Blue Shield Mcr	$40 - $65	597%
Veterans Amin-All Plans	$40 - $65	597%
Nimiipuu Mcr Adv-All Plans	$41 - $65	612%
Corizon Correctnal Med-All Plans	$55 - $88	821%
Cigna	$68 - $108	1015%
Idaho Phys Network-All Plans	$71 - $114	1060%
Multiplan / Phcs-All Plans	$73 - $116	1090%
First Choice-All Plans	$74 - $118	1104%
Geha-All Plans	$74 - $118	1104%
Regence Blue Shield-All Other Plans	$75 - $120	1119%

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 $73.
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 Clearwater Valley Hospital & Clinics 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.