CMS Price Transparency Data

Blood test, magnesium

Facility: Mt Sinai Hospital Medical Center

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $53
  • Cash Discount Price: $81
  • vs. Medicare Baseline: 7.91x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Mt Sinai Hospital Medical Center is $53. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $81. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 7.91x the Medicare baseline. Located in 15Th Street at California, Chicago, IL.
Cash / Self-Pay
$81

Average discount available for prompt cash payment at this facility.

Insurance Median
$53

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: $81 (1209%)
Insurance Median: $53 (791%)
Cash: $81 (1209% of Medicare)
Ins. Median: $53 (791% 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 791% of the Medicare baseline (a markup of 691%). 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
Blue Cross Blue Shield $6 - $90 90%
Cigna $6 - $175 90%
Oscar - All Plans $6 - $42 90%
Tricare $6 90%
Va Healthnet - All Plans $6 90%
Advocate Physician Prtnrs - All Other Plans $7 104%
Advocate Physician Prtnrs Mcr $7 104%
Aetna $7 - $320 104%
Ambetter / Centene $7 - $149 104%
Cenpatico Illinicare Dual $7 104%
Cenpatico Illinicare Mcr - All Other Plans $7 104%
Family Health Network Mcaid - All Plans $7 104%
Harmony Behavioral Htlh - All Plans $7 104%
Humana $7 - $444 104%
Lawndale Christian - All Plans $7 - $28 104%
Meridian/Harmony D-Snp - All Plans $7 104%
Molina Mcr - All Other Plans $7 104%
Nextlevel Hlth Icp Fhp Aca - All Plans $7 104%
UnitedHealthcare $7 104%
Zing Mcr Adv - All Plans $7 104%
Molina Mcaid $8 119%
Partners In Hlth - All Plans $15 - $57 224%
Healthlink Hmo $19 - $71 284%
Healthlink Ppo - All Other Plans $19 - $71 284%
Compsych Ip/Op Only - All Plans $23 - $85 343%
Hfn Platinum $25 - $92 373%
Multiplan Primary Ntwrk/Phcs - All Other Plans $27 - $99 403%
Hfn Epo $31 - $113 463%
Multiplan Complementary Ntwrk $31 - $113 463%
Hfn Ppo - All Other Plans $34 - $125 507%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 15Th Street at California, Chicago, IL 60608
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals