CMS Price Transparency Data

Blood test, magnesium

Facility: The Orthopaedic Hospital of Lutheran Health Networ

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $13
  • Cash Discount Price: $24
  • vs. Medicare Baseline: 1.94x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at The Orthopaedic Hospital of Lutheran Health Networ is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 1.94x the Medicare baseline. Located in 7952 W Jefferson Blvd, Ft Wayne, IN.
Cash / Self-Pay
$24

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $24 (358%)
Insurance Median: $13 (194%)
Cash: $24 (358% of Medicare)
Ins. Median: $13 (194% 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.

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
Blue Cross Blue Shield $3 - $11 45%
Medicaid / KanCare $6 - $7 90%
Physicians Health Plan $6 - $60 90%
Tricare $6 90%
UnitedHealthcare $6 - $76 90%
Aetna $7 - $75 104%
Amish Aid $7 - $42 104%
Caresource $7 104%
Department Of Veterans Affairs $7 104%
Humana $7 104%
In Dept Of Correction $7 104%
Iu Health Plan $7 104%
Lutheran Preferred $7 - $92 104%
Managed Health Services $7 - $13 104%
Medicare (plans) $7 104%
Mhs $7 104%
Node Devoted Health Mcr Adv $7 104%
Node Hospice Non Par Agree $7 104%
Node Mhs Mcr Adv $7 104%
Node Pphp Mcr Adv $7 104%
Node Va $7 104%
One Call Work Comp $7 104%
Police And Sheriff $7 104%
Self Pay $7 - $42 104%
Small Business Aid $7 104%
Node Us Dept Of Labor $8 119%
Php Freedom Network $8 - $12 119%
Cigna $9 - $154 134%
Lutheran Advanced Network $10 149%
Node Lutheran Three Rivers Preferred Plus 150 $10 149%
Occunet In Work Comp $10 149%
Three Rivers Preferred $10 - $69 149%
Align Network $11 164%
Encore Ppo $12 - $77 179%
Encore Wc $12 179%
Medrisk In Work Comp $12 179%
Node Lutheran Three Rivers Preferred Plus 175 $12 179%
Prime Health Services $12 - $116 179%
Sagamore $12 - $83 179%
Three Rivers Preferred In Work Comp $12 179%
In Work Comp $13 194%
Lutheran Network $13 194%
Objective Surgical $13 194%
Encore Kba Epo $16 239%
Multiplan $17 - $120 254%
First Health $19 - $119 284%
Encore $20 - $123 299%
Encore Kba Ppo $20 299%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7952 W Jefferson Blvd, Ft Wayne, IN 46804
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals