CMS Price Transparency Data

Blood test, magnesium

Facility: Saint Joseph Regional Medical Center

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $81
  • Cash Discount Price: $98
  • vs. Medicare Baseline: 12.09x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Saint Joseph Regional Medical Center is $81. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $98. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 12.09x the Medicare baseline. Located in 5215 Holy Cross Pkwy, Mishawaka, IN.
Cash / Self-Pay
$98

Average discount available for prompt cash payment at this facility.

Insurance Median
$81

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: $98 (1463%)
Insurance Median: $81 (1209%)
Cash: $98 (1463% of Medicare)
Ins. Median: $81 (1209% 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 1209% of the Medicare baseline (a markup of 1109%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 $4 - $75 60%
Blue Cross Blue Shield $4 - $13 60%
Medicaid / KanCare $4 - $7 60%
UnitedHealthcare $4 - $98 60%
County Coroner $7 104%
Managed Health Services - Indiana $7 104%
Mdwise $7 104%
Medicare (plans) $7 104%
Meridian Complete $7 104%
Pace-Trinity Health $7 104%
Provider Partners Health Plan Of Indiana $7 104%
Auxiant $10 - $128 149%
Caresource $10 149%
Physicians Health Plan Northern Indiana Health Insurance $10 - $20 149%
St Joseph County Hlth Dpt $10 149%
Siho Insurance Services $11 164%
Key Benefit Administrator $12 - $96 179%
Allied Benefit Systems $13 - $100 194%
Blue Benefit Administrators Of Massachusetts $13 194%
Blue Care Network $13 194%
Blue Distinction Transplant $13 194%
Blue Shield - Ca $13 194%
Blue Shield - Id (Regence) $13 194%
Blue Shield - Ny Highmark Northeastern $13 194%
Blue Shield - Ny Highmark Western $13 194%
Blue Shield - Pa (Highmark) $13 194%
Blue Shield - Wa (Regence) $13 194%
Custom Design Benefits $14 209%
Hospice Of Marshall County $38 - $40 567%
Hospice Of St Joseph County $38 - $40 567%
Plain Church Group $40 - $42 597%
Asr Health Benefits $72 - $75 1075%
Christian Brother Services $72 - $75 1075%
Employee Benefit Management $72 - $75 1075%
Medical Mutual $72 - $75 1075%
Meritain $72 - $75 1075%
Preferred One $72 - $75 1075%
Rural Carrier Health Benefit Plan $72 - $75 1075%
Webtpa $72 - $75 1075%
Notre Dame Athletic Association $81 - $85 1209%
Wc Notre Dame $81 - $85 1209%
Luminare Health (Detroit) $84 - $92 1254%
Encore Health $88 - $96 1313%
Ameriben $89 - $92 1328%
Indiana Criminal Justice Inst $92 - $96 1373%
Western & Southern Financial Group $92 - $96 1373%
Geha $94 - $98 1403%
Healthscope $94 - $98 1403%
Student Insurance Cma $94 - $98 1403%
Cigna $95 - $99 1418%
Group Administrators $95 - $99 1418%
Health Partners $95 - $99 1418%
Mvp $95 - $99 1418%
Prairie States $95 - $99 1418%
Priority Health $95 - $99 1418%
Professional Benefit Administrators $95 - $99 1418%
Sagamore Health Network $95 - $114 1418%
Sisco Benefits $95 - $99 1418%
Unified Group Services $95 - $99 1418%
Goshen Preferred Network $114 - $132 1701%
Christian Brothers Holy Cross $118 - $123 1761%
Signature Care $118 - $123 1761%
Bankers Life Casualty $148 - $154 2209%
Bureau Of Disability $148 - $154 2209%
Wc Align Network $148 - $154 2209%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5215 Holy Cross Pkwy, Mishawaka, IN 46545
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals