CMS Price Transparency Data

Blood test, magnesium

Facility: Pinckneyville Community Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83735
Insurance Median: $100
Cash Discount Price: $138
vs. Medicare Baseline: 14.93x Medicare

The contracted insurance negotiated median rate for a Blood test, magnesium at Pinckneyville Community Hospital is $100. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $138. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 14.93x the Medicare baseline. Located in 5383 State Route 154, Pinckneyville, IL.

Cash / Self-Pay

$138

Average discount available for prompt cash payment at this facility.

Insurance Median

$100

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: $138 (2060%)

Insurance Median: $100 (1493%)

Cash: $138 (2060% of Medicare)

Ins. Median: $100 (1493% 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 1493% of the Medicare baseline (a markup of 1393%). 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	$24 - $135	358%
Ambetter / Centene	$24	358%
Blue Cross Blue Shield	$24 - $108	358%
Medicaid / KanCare	$24	358%
Humana	$46 - $56	687%
Umwa Mcr Adv - All Plans	$46 - $56	687%
UnitedHealthcare	$46 - $123	687%
Wellcare Mcr Adv - All Plans	$46 - $56	687%
Healthlink Hmo	$98 - $118	1463%
Phcs - All Other Plans	$102 - $123	1522%
Cigna	$103 - $124	1537%
Healthlink Ppo - All Other Plans	$103 - $124	1537%
Healthlink Work Comp	$103 - $124	1537%
Phcs Savility	$106 - $128	1582%
Multiplan - All Plans	$112 - $135	1672%

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 $138.
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 Pinckneyville Community 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.