Blood test, magnesium
Facility: Satanta District Hospital, Clinics, & Ltcu
Billing Code: 83735 (CPT)
- CPT Billing Code: 83735
- Insurance Median: $26
- Cash Discount Price: $32
- vs. Medicare Baseline: 3.88x 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 388% of the Medicare baseline (a markup of 288%). 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 |
|---|---|---|
| Direct Benefit-All Plans | $9 | 134% |
| UnitedHealthcare | $10 - $36 | 149% |
| Berkley Net-All Plans | $14 | 209% |
| Meritain Health-All Plans | $16 | 239% |
| Aetna | $16 - $24 | 239% |
| Trustmark Health Benefits-All Plans | $16 | 239% |
| Ambetter / Centene | $17 | 254% |
| Axa Equitable - All Plans | $20 | 299% |
| Pinnacol-All Plans | $20 | 299% |
| Medi-Share-All Plans | $21 | 313% |
| Presbyterian-All Plans | $22 | 328% |
| Kasb Work Comp - All Plans | $23 | 343% |
| The Kempton Group Admin-All Plans | $25 | 373% |
| Gpha(Wppa)-All Other Plans | $25 | 373% |
| Auxiant - All Plans | $25 | 373% |
| Gpha Employee Benefit Plan | $26 | 388% |
| Providers Care Network- All Plans | $26 | 388% |
| Sisco-All Plans | $26 | 388% |
| Wppa- All Plans | $26 | 388% |
| Emc-All Plans | $26 | 388% |
| Triangle-All Plans | $27 | 403% |
| Regional Care(Wppa)-All Plans | $27 | 403% |
| First Health -All Plans | $27 | 403% |
| Employee Benefit-All Plans | $27 | 403% |
| One Call Physician-All Plans | $28 | 418% |
| Blue Cross Blue Shield | $28 | 418% |
| Christian Hospital Aid - All Plans | $29 | 433% |
| Tricare | $29 | 433% |
| Humana | $31 | 463% |
| Coresource-All Plans | $32 | 478% |
| Cigna | $32 | 478% |
| Luminare Health- All Plans | $32 | 478% |
| Deseret Mutual(Uhis)-All Plans | $32 | 478% |
| Vaccn-All Plans | $33 | 493% |
| Wps Vapc-All Plans | $34 | 507% |
| Hma Llc-All Plans | $34 | 507% |
| Reserve National-All Plans | $34 | 507% |
| Medicaid / KanCare | $36 | 537% |
Consumer Guidance & Cost Commentary
For this blood magnesium test at Satanta District Hospital, the cash price is $32.00, which is slightly lower than the facility's negotiated rates of $26.00 to $36.00 across various insurance plans. While the cash price is competitive, patients with high-deductible plans should verify their specific deductible status before relying on insurance, as some negotiated rates may exceed the cash amount. It is important to note that commercial insurance rates often include administrative overhead and contract markups that can make them higher than the direct cash price, even though they are contractually capped.
The facility's cash rate of $32.00 is comparable to the state average for this procedure, though the Medicare benchmark of $6.70 serves as the objective baseline for evaluating pricing fairness. Since Medicare rates represent the true cost of delivery, commercial rates are typically marked up significantly above this figure. Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network services at in-network facilities, it is still advisable to request a prompt-pay discount or self-pay rate before scheduling, as paying upfront can sometimes bypass the higher administrative costs associated with insurance claims processing.