CMS Price Transparency Data

Blood test, magnesium

Facility: Jacksonville Memorial Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83735
Insurance Median: $119
Cash Discount Price: $207
vs. Medicare Baseline: 17.76x Medicare

The contracted insurance negotiated median rate for a Blood test, magnesium at Jacksonville Memorial Hospital is $119. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $207. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 17.76x the Medicare baseline. Located in 1600 W Walnut St, Jacksonville, IL.

Cash / Self-Pay

$207

Average discount available for prompt cash payment at this facility.

Insurance Median

$119

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: $207 (3090%)

Insurance Median: $119 (1776%)

Cash: $207 (3090% of Medicare)

Ins. Median: $119 (1776% 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 1776% of the Medicare baseline (a markup of 1676%). 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	$6 - $207	90%
Tricare	$6 - $38	90%
Coventry	$7 - $32	104%
Health Alliance	$7 - $141	104%
Humana	$7 - $177	104%
Medicare (plans)	$7 - $32	104%
UnitedHealthcare	$7 - $149	104%
Medicaid / KanCare	$9	134%
Molina Healthcare	$9	134%
Corvel/Corcare	$27 - $47	403%
Illinois Workers Compensation	$29 - $65	433%
Commercial Workers Compensation	$62	925%
Health Alliance Mh Employee Plan	$95	1418%
Current Health Network	$114 - $155	1701%
6 Degrees Health	$124	1851%
Hope Trust	$124	1851%
Hst	$124	1851%
Cigna	$143	2134%
Aetna	$145 - $166	2164%
Healthlink	$176	2627%
Phcs/Multiplan	$186	2776%
Hfn	$197	2940%
Liability	$207	3090%

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 $207.
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 Jacksonville 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.