CMS Price Transparency Data

Blood test, magnesium

Facility: Hamilton Memorial Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83735
Insurance Median: $50
Cash Discount Price: $64
vs. Medicare Baseline: 7.46x Medicare

The contracted insurance negotiated median rate for a Blood test, magnesium at Hamilton Memorial Hospital is $50. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $64. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 7.46x the Medicare baseline. Located in 611 S Marshall Avenue, McLeansboro, IL.

Cash / Self-Pay

$64

Average discount available for prompt cash payment at this facility.

Insurance Median

$50

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: $64 (955%)

Insurance Median: $50 (746%)

Cash: $64 (955% of Medicare)

Ins. Median: $50 (746% 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 746% of the Medicare baseline (a markup of 646%). 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	$14 - $114	209%
Medicaid / KanCare	$14 - $50	209%
Aetna	$15 - $112	224%
Health Alliance	$15 - $100	224%
Humana	$15 - $50	224%
Medicare (plans)	$15 - $50	224%
UnitedHealthcare	$15 - $89	224%
Wellcare	$15 - $50	224%
Alliance Coal	$26 - $87	388%
Healthscope	$26 - $87	388%
Wellfirst (Ssmhic)	$26 - $87	388%
Hope Trust	$28 - $94	418%
Cigna	$30 - $98	448%
Hfn, Inc	$30 - $112	448%
Healthlink	$32 - $112	478%
Multiplan	$32 - $106	478%
Siho	$34 - $112	507%
Three Rivers Provider	$34 - $112	507%
Healthsmart	$36 - $119	537%
Stratose	$36 - $119	537%

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 $64.
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 Hamilton 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.