CMS Price Transparency Data

Blood test, magnesium

Facility: Franciscan Health Michigan City

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83735
Insurance Median: $92
Cash Discount Price: $32
vs. Medicare Baseline: 13.73x Medicare

The contracted insurance negotiated median rate for a Blood test, magnesium at Franciscan Health Michigan City is $92. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $32. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 13.73x the Medicare baseline. Located in 3500 Franciscan Way, Michigan City, IN.

Cash / Self-Pay

$32

Average discount available for prompt cash payment at this facility.

Insurance Median

$92

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: $32 (478%)

Insurance Median: $92 (1373%)

Cash: $32 (478% of Medicare)

Ins. Median: $92 (1373% 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 1373% of the Medicare baseline (a markup of 1273%). 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 - $76	90%
Mdwise [1175]	$7	104%
Medicaid / KanCare	$7 - $8	104%
Medicare (plans)	$7	104%
Unicare [1150]	$7	104%
Managed Health Services [1302]	$8	119%
Aetna	$11 - $20	164%
Managed Care [2000]	$11 - $138	164%
Workers Comp [1172]	$13	194%
Commercial [2001]	$30 - $153	448%
Cigna	$65 - $107	970%
Great West Insurance [1055]	$92	1373%
United Medical Resources [1158]	$92	1373%
United Medical Resources [1301]	$92 - $102	1373%
UnitedHealthcare	$92 - $102	1373%

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 $32.
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 Franciscan Health Michigan City 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.