Blood test, magnesium
Facility: Rooks County Health Center
Billing Code: 83735 (CPT)
- CPT Billing Code: 83735
- Insurance Median: $77
- Cash Discount Price: $64
- vs. Medicare Baseline: 11.49x 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 1149% of the Medicare baseline (a markup of 1049%). 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 |
|---|---|---|
| Veterans Admin - All Plans | $6 | 90% |
| Blue Cross Blue Shield | $26 | 388% |
| Tricare | $40 | 597% |
| Celtic Mcr Adv | $40 | 597% |
| Celtic Comm - All Other Plans | $44 | 657% |
| Aetna | $76 | 1134% |
| Preferred Benefits Admin | $76 | 1134% |
| UnitedHealthcare | $76 | 1134% |
| Preferred Hlthcare - All Other Plans | $81 | 1209% |
| Health Partners - All Plans | $81 | 1209% |
| Healthy Blue Mcaid - All Plans | $85 | 1269% |
Consumer Guidance & Cost Commentary
For the blood test, magnesium procedure (CPT 83735) at Rooks County Health Center in Plainville, KS, the facility's cash median price of $64.00 is notably lower than the state average of $85.00. While the facility's negotiated rates with major payers like Aetna, UnitedHealthcare, and Preferred Benefits Admin range from $76.00 to $85.00, these amounts are generally higher than the cash price. For patients with high-deductible plans, paying the cash rate of $64.00 upfront may result in significant savings compared to the insurance negotiated rates, which often exceed the cash price due to administrative overhead and contract dynamics.
It is important to note that the facility's cash rate of $64.00 is also lower than the median paid amount of $60.00 reported for this service in the broader market, suggesting potential variability in how different insurers process claims. Patients should verify their specific plan's deductible status before scheduling, as paying the negotiated rate without meeting the deductible could lead to higher out-of-pocket costs than expected. Additionally, if you are self-paying, you may be eligible for prompt-pay discounts by requesting a self-pay classification at registration, which can further reduce the final bill. Always ensure you receive an itemized bill to confirm that no unbundled charges or services not rendered have been included.