Blood test, magnesium
Facility: Wesley Medical Center
Billing Code: 83735 (CPT)
- CPT Billing Code: 83735
- Insurance Median: $126
- Cash Discount Price: $774
- vs. Medicare Baseline: 18.81x 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 1881% of the Medicare baseline (a markup of 1781%). 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 |
|---|---|---|
| Devoted Health | $7 | 104% |
| Coventry Health Care | $7 | 104% |
| United | $7 - $380 | 104% |
| Triwest Health Alliance | $7 | 104% |
| Amerigroup | $7 | 104% |
| Aetna | $7 - $302 | 104% |
| Medicaid / KanCare | $7 | 104% |
| UnitedHealthcare | $7 | 104% |
| Humana | $7 | 104% |
| Ambetter / Centene | $7 - $152 | 104% |
| Correct Care Solutions | $10 | 149% |
| First Health | $14 - $390 | 209% |
| Multiplan | $15 - $760 | 224% |
| Blue Cross Blue Shield | $19 | 284% |
| Health Partners Of Kansas | $121 - $422 | 1806% |
| Wppa | $122 - $147 | 1821% |
| Preferred Health Choices | $133 - $160 | 1985% |
| Medical Associates Health Plan | $133 - $160 | 1985% |
| Spirit Aerosystems | $225 - $270 | 3358% |
| Triwest Healthcare Alliance | $456 - $549 | 6806% |
| Usa Managed Care | $597 - $718 | 8910% |
Consumer Guidance & Cost Commentary
For the blood test, magnesium procedure (CPT 83735) at Wesley Medical Center in Wichita, KS, the cash median price is $774.00, which matches the facility's gross charge. This rate is significantly higher than the state average, as indicated by a 18.8% variance compared to Medicare benchmarks. While commercial insurance contracts often result in negotiated rates that can exceed cash prices due to administrative overhead and multi-layered pricing structures, patients with high-deductible plans may find paying the cash price directly more cost-effective. It is important to verify your specific plan's allowed amount before scheduling, as some in-network contracts can be substantially higher than the cash rate.
To ensure you are not overcharged, you should request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Additionally, ask the facility about "prompt-pay" discounts, which can reduce the total bill by 20% to 50% if paid in full upfront, bypassing the costly insurance claims cycle. If you receive a balance bill for out-of-network ancillary services, remember that the No Surprises Act generally protects you from paying the difference between the provider's full charge and your insurance allowed amount for emergency or non-emergency care at in-network facilities. Always dispute any unexpected charges in writing rather than accepting summary bills or verbal assurances.