CMS Price Transparency Data

Blood test, magnesium

Facility: Massac Memorial Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83735
Insurance Median: $60
Cash Discount Price: $80
vs. Medicare Baseline: 8.96x Medicare

The contracted insurance negotiated median rate for a Blood test, magnesium at Massac Memorial Hospital is $60. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $80. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 8.96x the Medicare baseline. Located in 28 Chick Street, Po Box 850, Metropolis, IL.

Cash / Self-Pay

$80

Average discount available for prompt cash payment at this facility.

Insurance Median

$60

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: $80 (1194%)

Insurance Median: $60 (896%)

Cash: $80 (1194% of Medicare)

Ins. Median: $60 (896% 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 896% of the Medicare baseline (a markup of 796%). 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	$10 - $93	149%
Blue Cross Blue Shield	$10 - $109	149%
Medicaid / KanCare	$10	149%
Molina Ky Mcaid	$10	149%
Chesi Op Only-All Plans	$60	896%
Health Alliance Mcare Adv	$60	896%
Humana	$60	896%
Health Alliance Exchange	$74	1104%
Health Alliance-All Other Plans	$74	1104%
Prime Health Services-All Plans	$74	1104%
Healthlink Hmo	$84	1254%
Cigna	$94	1403%
Healthlink Ppo-All Other Plans	$94	1403%
UnitedHealthcare	$96	1433%
Multiplan-All Plans	$103	1537%

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 $80.
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 Massac 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.