Blood test, magnesium
Facility: Cheyenne County Hospital
Billing Code: 83735 (CPT)
- CPT Billing Code: 83735
- Insurance Median: $39
- Cash Discount Price: $41
- vs. Medicare Baseline: 5.82x 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 582% of the Medicare baseline (a markup of 482%). 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 | $3 - $136 | 45% |
| Blue Cross Blue Shield | $26 | 388% |
| First Health - All Plans | $27 - $95 | 403% |
| Choice Care - All Plans | $28 - $99 | 418% |
| Tricare | $28 - $98 | 418% |
| Aetna | $28 - $129 | 418% |
| Healthy Blue Mcr Adv | $28 - $98 | 418% |
| Firstguard - All Plans | $31 - $109 | 463% |
| Wppa - All Plans | $35 - $122 | 522% |
| Cpm - All Plans | $36 - $129 | 537% |
| Preferred Hc - All Plans | $36 - $129 | 537% |
| Midlands Choice - All Plans | $37 - $132 | 552% |
| Childrens Mercy - All Plans | $38 - $136 | 567% |
| Ppo Next - All Plans | $38 - $133 | 567% |
| Unicare - All Plans | $38 - $133 | 567% |
| Health Partners - All Plans | $38 - $133 | 567% |
| Integrated Hp - All Plans | $38 - $133 | 567% |
| Healthwave Mcaid - All Plans | $38 - $136 | 567% |
| Healthy Blue Mcaid - All Other Plans | $38 - $136 | 567% |
| Providers Care-All Plans | $58 - $204 | 866% |
Consumer Guidance & Cost Commentary
For the blood test, magnesium procedure (CPT 83735) at Cheyenne County Hospital in St. Francis, KS, the cash price is $41.00, which matches the facility's cash median. This rate is significantly lower than the negotiated rates paid by major payers, with the lowest negotiated amount being $38.00 and the highest reaching $204.00 across 20 different insurance plans. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should be aware that commercial insurance contracts often result in higher costs than self-pay options. If you have a high-deductible plan where your deductible has not yet been met, paying the cash price of $41.00 upfront may be more cost-effective than relying on insurance, which could result in a higher allowed amount or balance billing depending on your specific plan terms.
To maximize savings, it is advisable to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% for upfront payment. These discounts bypass the administrative costs associated with insurance claims processing and provide immediate liquidity to the facility. Additionally, since the facility is located in a rural area (ZIP 67756), patients should verify whether any ancillary services, such as emergency physicians or specific lab components, are out-of-network to avoid potential balance billing, although the No Surprises Act offers protections for emergency care at in-network facilities. Always request a full itemized bill before finalizing payment to ensure all charges are accurate and to identify any unbundled codes or services not rendered.