Blood test, magnesium
Facility: Mercy Hospital Pittsburg, Inc
Billing Code: 83735 (CPT)
- CPT Billing Code: 83735
- Insurance Median: $86
- Cash Discount Price: $77
- vs. Medicare Baseline: 12.84x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 1284% of the Medicare baseline (a markup of 1184%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| UnitedHealthcare | $6 - $86 | 90% |
| Medica Contracted [320239] | $6 | 90% |
| Blue Cross Blue Shield | $6 - $31 | 90% |
| Medicaid / KanCare | $6 - $11 | 90% |
| Humana | $6 - $7 | 90% |
| Aetna | $6 - $109 | 90% |
| Kindful Hospice [20434] | $7 | 104% |
| Cross Timbers Hospice [20098] | $7 | 104% |
| Pace Of The Ozarks Contracted [320518] | $7 | 104% |
| Medicare (plans) | $7 | 104% |
| Kindful Hospice Contracted [320434] | $7 | 104% |
| Elara Caring Aspire Hospice [20433] | $7 | 104% |
| Dept Of Veteran Affairs Contracted [320106] | $7 | 104% |
| Tricare | $7 | 104% |
| Halo Hcr Inc Hospice [20432] | $7 | 104% |
| Halo Hcr Inc Hospice Contracted [320432] | $7 | 104% |
| Mercy Hospice Okc [20252] | $7 | 104% |
| American Health Advantage Of Ks Mcr Contracted [320508] | $7 | 104% |
| Health Choice Contracted [320166] | $9 | 134% |
| Ambetter / Centene | $11 | 164% |
| Home State Health Plan Contracted [320187] | $11 | 164% |
| Providrs Care Network Contracted [320484] | $13 | 194% |
| Cigna | $38 - $39 | 567% |
| United Medical Resources Contracted [320454] | $73 - $86 | 1090% |
| Workers Comp [20426] | $86 - $102 | 1284% |
| Reflect Health Contracted [320492] | $86 - $102 | 1284% |
| American Healthcare Alliance Contracted [320020] | $86 - $102 | 1284% |
| Ebms Contracted [320493] | $86 - $102 | 1284% |
| Auxiant Contracted [320462] | $86 - $102 | 1284% |
| Mercy Benefit Admin Contracted [320251] | $86 - $102 | 1284% |
| Healthlink Contracted [320179] | $86 - $102 | 1284% |
| Aither Health Contracted [320449] | $86 - $102 | 1284% |
| Edison Health Solutions Contracted [320502] | $86 - $102 | 1284% |
| Yuzu Health Contracted [320521] | $86 - $102 | 1284% |
| Imagine 360 Contracted [320494] | $86 - $102 | 1284% |
| First Health Contracted [320128] | $92 - $109 | 1373% |
Consumer Guidance & Cost Commentary
For this blood magnesium test at Mercy Hospital Pittsburg, Inc., the facility's cash price is $77.00, which is notably lower than the state average of $86.00. While many commercial payers negotiate rates ranging from $6 to $109, the cash rate often provides a more affordable option for patients with high-deductible plans or those without insurance, as it bypasses the administrative overhead and markup inherent in insurance billing. To maximize savings, patients should explicitly request "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50% by eliminating claim processing fees and bad debt risks.
The facility's negotiated rates vary significantly by payer, with some plans paying as low as $6 and others up to $109, while the Medicare benchmark for this service is $6.70. Because commercial negotiated rates frequently exceed the cash price due to multi-layered administrative structures, it is crucial to verify your specific plan's allowed amount before receiving care. If you receive a balance bill for the difference between the provider's charge and your insurance payment, you may be entitled to protections under the No Surprises Act, which bans balance billing for emergency services and non-emergency services from out-of-network providers at in-network facilities. Always request a detailed, itemized bill to ensure no unbundled codes or services not rendered are included, as over 80% of hospital bills contain errors that can be corrected through a formal written audit.