Blood test, magnesium
Facility: Ellinwood District Hospital
Billing Code: 83735 (CPT)
- CPT Billing Code: 83735
- Insurance Median: $40
- Cash Discount Price: $49
- vs. Medicare Baseline: 5.97x 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 597% of the Medicare baseline (a markup of 497%). 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 |
|---|---|---|
| Humana | $40 | 597% |
| Blue Cross Blue Shield | $40 | 597% |
| Aetna | $40 | 597% |
| Cigna | $40 | 597% |
| UnitedHealthcare | $40 | 597% |
Consumer Guidance & Cost Commentary
For the CPT code 83735 (Blood test, magnesium) at Ellinwood District Hospital in Ellinwood, KS, the facility's negotiated rates are consistently $40.00 across all five major payers, including Humana, Blue Cross Blue Shield, Aetna, Cigna, and UnitedHealthcare. This negotiated amount aligns exactly with the facility's cash median of $49.00 and the median paid amount of $49.00, indicating that for patients with active insurance, the out-of-pocket cost is likely capped at the $40.00 allowed amount rather than the higher cash price. While the facility is a Critical Access Hospital owned by a government hospital district, the data does not provide specific state or county average rates for comparison, so the $40.00 negotiated rate stands as the primary benchmark for in-network members.
Although the cash price of $49.00 is higher than the negotiated rate, patients with high-deductible plans or those who have already met their deductible may find that paying the cash price directly is more cost-effective than relying on insurance, as the insurer's allowed amount ($40.00) would likely result in a lower reimbursement to the patient. It is important to note that the facility offers a prompt-pay discount mechanism where paying the full balance upfront can reduce the bill by 20% to 50%, potentially lowering the final cost below the standard cash median. Consumers should verify their specific plan details and request a self-pay or prompt-pay classification before scheduling to ensure they are not subject to automatic claims submission, which could void any potential cash discounts or lead to unexpected balance billing if ancillary