CMS Price Transparency Data

Blood test, magnesium

Facility: Rush Memorial Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83735
Insurance Median: $150
Cash Discount Price: $164
vs. Medicare Baseline: 22.39x Medicare

The contracted insurance negotiated median rate for a Blood test, magnesium at Rush Memorial Hospital is $150. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $164. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 22.39x the Medicare baseline. Located in 1300 N Main St, Rushville, IN.

Cash / Self-Pay

$164

Average discount available for prompt cash payment at this facility.

Insurance Median

$150

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: $164 (2448%)

Insurance Median: $150 (2239%)

Cash: $164 (2448% of Medicare)

Ins. Median: $150 (2239% 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 2239% of the Medicare baseline (a markup of 2139%). 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
Health Net	$21 - $159	313%
Aetna	$22 - $497	328%
Caresource Mcr Adv	$22 - $168	328%
Humana	$22 - $497	328%
My True Advantage - All Plans	$22 - $168	328%
UnitedHealthcare	$22 - $432	328%
Blue Cross Blue Shield	$23 - $396	343%
Today'S Option Mcr Adv-All Plans	$23 - $173	343%
Viant Beech St Mcr Adv	$23 - $173	343%
Caresource Marketplace-All Other Plans	$35 - $268	522%
Cigna	$57 - $432	851%
Phcs-All Plans	$57 - $432	851%
Consumers Life Ins-All Plans	$64 - $486	955%
Coventry/First Health-All Plans	$64 - $486	955%
Multiplan-All Plans	$66 - $503	985%
Sagamore-All Plans	$66 - $497	985%
Siho-All Plans	$66 - $497	985%
Community Health Alliance-All Plans	$67 - $508	1000%
Encore Health Services-All Plans	$70 - $530	1045%

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 $164.
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 Rush Memorial Hospital 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.