CMS Price Transparency Data

Blood test, magnesium

Facility: Woodlawn Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83735
Insurance Median: $27
Cash Discount Price: $92
vs. Medicare Baseline: 4.03x Medicare

The contracted insurance negotiated median rate for a Blood test, magnesium at Woodlawn Hospital is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $92. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 4.03x the Medicare baseline. Located in 1400 E 9Th St, Rochester, IN.

Cash / Self-Pay

$92

Average discount available for prompt cash payment at this facility.

Insurance Median

$27

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: $92 (1373%)

Insurance Median: $27 (403%)

Cash: $92 (1373% of Medicare)

Ins. Median: $27 (403% 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 403% of the Medicare baseline (a markup of 303%). 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	$3 - $93	45%
Caresource Mcaid Hww	$7	104%
Mdwise Excel Hhw & Hcc	$7	104%
Mhs Mcaid Hcc	$7	104%
Mhs Mcaid Hhw	$7	104%
UnitedHealthcare	$7 - $93	104%
Partners Direct Health-All Plans	$8	119%
Aetna	$27 - $117	403%
Caresource Mcaid Hip	$27	403%
Caresource Mcr Adv	$27	403%
Humana	$27 - $95	403%
Mdwise Mcaid Excel Hip	$27	403%
Mhs Exch Mrktplce-All Other Plans	$27	403%
Mhs Mcaid Hip	$27	403%
Mhs Mcr Adv	$28	418%
Caresource Exch - All Other Plans	$35	522%
Ambetter / Centene	$36	537%
Cigna	$88 - $105	1313%
Parkview Health Plans-All Plans	$92	1373%
Sagamore All Other Grps - All Other Plans	$103	1537%
Encore Comm-All Plans	$105	1567%
Phcs/Multiplan-All Plans	$114	1701%
Community Health Alliance-All Plans	$117	1746%

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 $92.
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 Woodlawn 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.