CMS Price Transparency Data

Blood test, magnesium

Facility: Memorial Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83735
Insurance Median: $86
Cash Discount Price: $94
vs. Medicare Baseline: 12.84x Medicare

The contracted insurance negotiated median rate for a Blood test, magnesium at Memorial Hospital is $86. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $94. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 12.84x the Medicare baseline. Located in 4500 Memorial Drive, Belleville, IL.

Cash / Self-Pay

$94

Average discount available for prompt cash payment at this facility.

Insurance Median

$86

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: $94 (1403%)

Insurance Median: $86 (1284%)

Cash: $94 (1403% of Medicare)

Ins. Median: $86 (1284% 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 1284% of the Medicare baseline (a markup of 1184%). 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
Aetna	$7 - $117	104%
Blue Cross Blue Shield	$7 - $136	104%
Cox Health [757]	$7	104%
Devoted Health Plan [847]	$7	104%
Essence Healthcare [221]	$7	104%
Humana	$7 - $19	104%
Medica [662]	$7	104%
UnitedHealthcare	$7 - $116	104%
Healthscope Benefits [258]	$8	119%
Cigna	$9 - $14	134%
Allied Benefits [498]	$12 - $116	179%
Consociate [478]	$12	179%
Coresource [497]	$12	179%
Fmh Benefit Service Inc [222]	$12	179%
Mail Handlers [495]	$12	179%
Sarah Bush Lincoln [636]	$12	179%
Apwu Health Plan [216]	$14	209%
Nalc Health Benefit Plan [242]	$14	209%
Priority Health [648]	$14	209%
Healthlink [225]	$76 - $118	1134%
Cox Health Systems Insurance Company [220]	$86 - $101	1284%
Health Alliance [224]	$86	1284%
Hope Trust [806]	$90	1343%
Med-Pay [480]	$101 - $117	1507%
Unicare [568]	$101 - $118	1507%
First Health Commercial [734]	$116	1731%
Beechstreet [551]	$117	1746%
Detego Health [868]	$117	1746%
Health Systems Inc [620]	$117	1746%
Healthcare Sol Mercy [609]	$117	1746%
Multiplan Commercial [737]	$117	1746%
Multiplan [240]	$117	1746%
Phcs [244]	$117 - $125	1746%
Preferred Health Professionals [561]	$118	1761%
Hfn [563]	$125	1866%
Medica [661]	$125	1866%

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 $94.
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 Memorial Hospital 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.