Blood test, magnesium
Facility: Susan B Allen Memorial Hospital
Billing Code: 83735 (CPT)
- CPT Billing Code: 83735
- Insurance Median: $554
- Cash Discount Price: $28
- vs. Medicare Baseline: 82.69x 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 8269% of the Medicare baseline (a markup of 8169%). 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 | $350 | 5224% |
| Providrs Care | $757 | 11299% |
Consumer Guidance & Cost Commentary
For the blood test, magnesium procedure at Susan B Allen Memorial Hospital in El Dorado, KS, the cash median price is $28.00, which is significantly lower than the facility's negotiated rates of $554.00. While the facility's negotiated rates are higher than the cash price, patients with high-deductible plans should consider paying cash directly, as the cash rate may be cheaper than the amount their insurance would allow. It is important to note that the cash median of $28.00 is lower than the state average for this service, making it a cost-effective option for those without insurance or with limited coverage.
Patients should be aware that commercial insurance negotiated rates often exceed cash prices due to administrative costs and contract dynamics, even though these rates are intended to cap out-of-network balance billing. If you have insurance, verify your deductible status before scheduling, as you may still be responsible for the full negotiated amount if you have not met your plan's threshold. To ensure you receive the best possible price, contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can further reduce the cost of the service.