Blood test, magnesium
Facility: Overland Park Reg Med Ctr
Billing Code: 83735 (CPT)
- CPT Billing Code: 83735
- Insurance Median: $122
- Cash Discount Price: $439
- vs. Medicare Baseline: 18.21x 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 1821% of the Medicare baseline (a markup of 1721%). 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 |
|---|---|---|
| Cigna | $3 - $7 | 45% |
| Aetna | $6 - $248 | 90% |
| Home State Health Plan | $6 | 90% |
| United | $6 - $219 | 90% |
| Pyramid Life | $7 | 104% |
| Humana | $7 - $16 | 104% |
| Medicaid / KanCare | $7 | 104% |
| Healthyblue | $7 | 104% |
| Wellcare | $7 | 104% |
| Celtic | $7 | 104% |
| Amerigroup | $7 | 104% |
| Unicare | $7 | 104% |
| Devoted Health | $7 | 104% |
| Coventry | $7 - $195 | 104% |
| Triwest Health Alliance | $7 | 104% |
| Blue Cross Blue Shield | $7 - $209 | 104% |
| Oscar | $10 | 149% |
| Multiplan | $12 - $360 | 179% |
| Corvel Corporation | $14 - $316 | 209% |
| Oha Network | $15 - $243 | 224% |
| Ambetter / Centene | $74 - $90 | 1104% |
| Nhc Advantage | $75 - $92 | 1119% |
| Wppa Providrs Care Network | $79 - $97 | 1179% |
| Universal Healthcare | $139 - $170 | 2075% |
| Coventry Kc Mo | $162 - $199 | 2418% |
| College Park Family Care Center | $170 - $209 | 2537% |
| Cco, Inc. | $297 - $365 | 4433% |
| Focus Healthcare Mgmt, Inc | $297 - $365 | 4433% |
Consumer Guidance & Cost Commentary
For this blood magnesium test at Overland Park Reg Med Ctr, the cash price is $439.00, which matches the facility's median paid amount. This cash rate is significantly higher than the state average for this service, as indicated by the 18.2% variance compared to Medicare benchmarks. While commercial insurance plans like Aetna and United offer negotiated rates ranging from $6 to $248, these amounts often exceed the cash price due to administrative overhead and contract structures. Patients with high-deductible plans may find it financially advantageous to pay the cash price directly, as it avoids the potential for balance billing if an out-of-network component arises, though the No Surprises Act generally protects against surprise bills for emergency care at in-network facilities.
To minimize costs, patients should verify if the facility offers a prompt-pay discount for upfront payment, which can reduce the bill by 20% to 50% by bypassing insurance claims processing fees. It is also critical to request a full itemized bill before agreeing to any payment plan, as summary bills often obscure unbundled charges or services not rendered. Since the facility is a proprietary acute care hospital in Overland Park, KS, patients should contact the billing department directly to confirm their specific plan's allowed amount and ask about self-pay rates prior to scheduling. Avoiding verbal disputes and insisting on written records for any billing corrections will help ensure accuracy and prevent unexpected debt.