CMS Price Transparency Data
Blood test, magnesium
Facility: Saint Joseph Regional Medical Center - Plymouth
Billing Code: 83735 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 83735
- Insurance Median: $84
- Cash Discount Price: $79
- vs. Medicare Baseline: 12.54x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Saint Joseph Regional Medical Center - Plymouth is $84. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $79. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 12.54x the Medicare baseline. Located in 1915 Lake Ave, Plymouth, IN.
Cash / Self-Pay
$79
Average discount available for prompt cash payment at this facility.
Insurance Median
$84
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: $79 (1179%)
Insurance Median: $84 (1254%)
Cash: $79 (1179% of Medicare)
Ins. Median: $84 (1254% 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 1254% of the Medicare baseline (a markup of 1154%). 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.
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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 - $72 | 60% |
| Blue Cross Blue Shield | $4 - $13 | 60% |
| Medicaid / KanCare | $4 - $7 | 60% |
| UnitedHealthcare | $4 - $94 | 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 - $123 | 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 - $104 | 179% |
| Allied Benefit Systems | $13 - $96 | 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% |
| Plain Church Group | $27 - $40 | 403% |
| Asr Health Benefits | $49 - $72 | 731% |
| Christian Brother Services | $49 - $72 | 731% |
| Employee Benefit Management | $49 - $72 | 731% |
| Medical Mutual | $49 - $72 | 731% |
| Meritain | $49 - $72 | 731% |
| Preferred One | $49 - $72 | 731% |
| Rural Carrier Health Benefit Plan | $49 - $72 | 731% |
| Webtpa | $49 - $72 | 731% |
| Notre Dame Athletic Association | $56 - $81 | 836% |
| Wc Notre Dame | $56 - $81 | 836% |
| Luminare Health (Detroit) | $58 - $89 | 866% |
| Ameriben | $61 - $89 | 910% |
| Geha | $64 - $94 | 955% |
| Healthscope | $64 - $94 | 955% |
| Student Insurance Cma | $64 - $94 | 955% |
| Encore Health | $71 - $104 | 1060% |
| Indiana Criminal Justice Inst | $71 - $104 | 1060% |
| Western & Southern Financial Group | $71 - $104 | 1060% |
| Cigna | $73 - $107 | 1090% |
| Group Administrators | $73 - $107 | 1090% |
| Health Partners | $73 - $107 | 1090% |
| Mvp | $73 - $107 | 1090% |
| Prairie States | $73 - $107 | 1090% |
| Priority Health | $73 - $107 | 1090% |
| Professional Benefit Administrators | $73 - $107 | 1090% |
| Sagamore Health Network | $73 - $114 | 1090% |
| Sisco Benefits | $73 - $107 | 1090% |
| Unified Group Services | $73 - $107 | 1090% |
| Goshen Preferred Network | $78 - $127 | 1164% |
| Signature Care | $84 - $123 | 1254% |
| Allied National Global Care | $91 - $133 | 1358% |
| Asrm - Reliance Standard Life Insurance | $91 - $133 | 1358% |
| Avmed Health Plan | $91 - $133 | 1358% |
| Christian Care Ministry | $91 - $133 | 1358% |
| Dean Health | $91 - $133 | 1358% |
| Fallon Health | $91 - $133 | 1358% |
| Family Life Insurance Company | $91 - $133 | 1358% |
| Freedom Life Insurance Company | $91 - $133 | 1358% |
| Ghc Scw | $91 - $133 | 1358% |
| International Benefit Administrators | $91 - $133 | 1358% |
| Lifetime Benefit Solutions | $91 - $133 | 1358% |
| Manhattan Life | $91 - $133 | 1358% |
| Medi Share | $91 - $133 | 1358% |
| Multiplan | $91 - $133 | 1358% |
| Pai | $91 - $133 | 1358% |
| Pan-American Life | $91 - $133 | 1358% |
| Paramount Hmo | $91 - $133 | 1358% |
| Phcs | $91 - $133 | 1358% |
| Philadelphia American Life Insurance | $91 - $133 | 1358% |
| Trinity Health Share | $91 - $133 | 1358% |
| Bankers Life Casualty | $101 - $148 | 1507% |
| Bureau Of Disability | $101 - $148 | 1507% |
| Wc Align Network | $101 - $148 | 1507% |