Blood test, magnesium
Facility: Nemaha Valley Community Hospital
Billing Code: 83735 (CPT)
- CPT Billing Code: 83735
- Insurance Median: $31
- Cash Discount Price: $47
- vs. Medicare Baseline: 4.63x 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 463% of the Medicare baseline (a markup of 363%). 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 |
|---|---|---|
| Va Ccn - All Plans | $2 - $5 | 30% |
| Aetna | $15 - $60 | 224% |
| Humana | $15 - $31 | 224% |
| Celtic Comm Exch - All Plans | $16 - $34 | 239% |
| Partners Direct Health - All Plans | $18 - $36 | 269% |
| Multiplan - All Plans | $31 - $63 | 463% |
| Midlands Choice - All Plans | $32 - $66 | 478% |
| Health Partners - All Plans | $32 - $66 | 478% |
Consumer Guidance & Cost Commentary
For the blood test, magnesium procedure (CPT 83735) at Nemaha Valley Community Hospital in Seneca, KS, the facility's cash median price is $47.00, which is slightly lower than the state average of $47.00. While the hospital's negotiated rates with major payers like Aetna and Humana range from $15 to $66, these amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying the cash rate directly. To maximize savings, patients should explicitly request "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50% by bypassing costly insurance claims processing.
When using insurance, the median allowed amount is $33.00, which is lower than the gross charge of $52.00 but still higher than the cash price. It is important to note that Medicare sets a benchmark of $6.70 for this service, indicating that commercial negotiated rates are significantly higher than the federal baseline. Patients should be aware that balance billing is generally prohibited for in-network services under the No Surprises Act, but they must verify their specific plan details to ensure they are not facing unexpected out-of-network charges. Always review the itemized bill for accuracy, as over 80% of hospital bills contain errors that can be corrected through a formal written audit dispute.