CMS Price Transparency Data

Blood test, magnesium

Facility: Norton-King's Daughters' Health

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83735
Insurance Median: $131
Cash Discount Price: $37
vs. Medicare Baseline: 19.55x Medicare

The contracted insurance negotiated median rate for a Blood test, magnesium at Norton-King's Daughters' Health is $131. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $37. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 19.55x the Medicare baseline. Located in 1373 East Sr 62, Madison, IN.

Cash / Self-Pay

$37

Average discount available for prompt cash payment at this facility.

Insurance Median

$131

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: $37 (552%)

Insurance Median: $131 (1955%)

Cash: $37 (552% of Medicare)

Ins. Median: $131 (1955% 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 1955% of the Medicare baseline (a markup of 1855%). 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	$5 - $147	75%
Blue Cross Blue Shield	$7 - $21	104%
Humana	$7	104%
Managed Health Services	$7 - $10	104%
Managed Health Services Of Indiana	$7	104%
Managed Health Services Of Kentucky	$7	104%
Passport By Molina	$7	104%
UnitedHealthcare	$7 - $131	104%
Caresource Of Kentucky	$9	134%
Caresource Of Indiana	$10	149%
Custom Design Benefits	$13 - $84	194%
Cigna	$142	2119%
Encore	$142	2119%
Quality Care Partners	$149	2224%
Bluegrass	$150	2239%
First Health	$150	2239%
Healthlink	$150	2239%
Vha/Tristate	$150	2239%
Multiplan/Phcs	$154	2299%
Indiana Health Network	$159	2373%
Siho	$159	2373%

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 $37.
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 Norton-King's Daughters' Health 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.