Blood test, magnesium
Facility: Kearny County Hospital
Billing Code: 83735 (CPT)
- CPT Billing Code: 83735
- Insurance Median: $78
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 11.64x 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 1164% of the Medicare baseline (a markup of 1064%). 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 |
|---|---|---|
| Community Care Health Plan Of | $78 | 1164% |
| Meritain Health | $78 | 1164% |
| Kansas Solutions | $78 | 1164% |
| UnitedHealthcare | $78 | 1164% |
| Luminare Health | $78 | 1164% |
| Blue Cross Blue Shield | $78 - $112 | 1164% |
| Wps Gha - Mac J5 Part A | $78 | 1164% |
| Humana | $78 | 1164% |
| Aetna | $78 | 1164% |
Consumer Guidance & Cost Commentary
For the blood test, magnesium procedure (CPT 83735) at Kearny County Hospital in Lakin, KS, the facility's negotiated rates range from $78 to $112 across nine insurance payers, with a median negotiated rate of $78.00. This negotiated rate is significantly higher than the Medicare benchmark of $6.70, which serves as the federal baseline for the true cost of care. While the facility is a Critical Access Hospital owned by the local government, patients should be aware that cash-pay options may offer lower costs if their insurance negotiated rate exceeds the cash price. Although the data does not list a specific cash median, patients with high-deductible plans might find it beneficial to inquire about self-pay or prompt-pay discounts before scheduling, as these upfront payment incentives can bypass costly administrative processing fees and reduce overall out-of-pocket expenses.
The pricing structure for this service reflects standard commercial insurance dynamics where negotiated rates often exceed the Medicare benchmark due to administrative overhead and contract dynamics. For context, the facility's location in Lakin, KS (ZIP 67860) is within a region where the state average for this procedure is $10.00, which aligns closely with the facility's median negotiated rate. It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should still verify their specific plan details and deductible status before receiving care. To ensure the most accurate and transparent pricing, consumers are encouraged to request a full itemized bill rather than accepting summary invoices, allowing them to identify any unbundled codes or services not rendered that could be disputed.