Blood test, magnesium
Facility: Logan County Hospital
Billing Code: 83735 (CPT)
- CPT Billing Code: 83735
- Insurance Median: $52
- Cash Discount Price: $15
- vs. Medicare Baseline: 7.76x 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 776% of the Medicare baseline (a markup of 676%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $26 | 388% |
| Humana | $32 | 478% |
| Health Partners - All Plans | $71 | 1060% |
| Medicaid / KanCare | $75 | 1119% |
Consumer Guidance & Cost Commentary
For this blood magnesium test at Logan County Hospital in Oakley, Kansas, the negotiated rates for major payers like Blue Cross Blue Shield and Humana range from $26 to $32, while the cash price is significantly lower at $15.00. It is important to note that while insurance plans often cover the negotiated rate, patients with high-deductible plans may find paying the cash price upfront to be more cost-effective, as the $15.00 cash rate is lower than the $26.00 to $32.00 amounts paid by insurers. Additionally, patients should inquire about "prompt-pay" discounts, which can further reduce the final bill if paid in full within a short window, bypassing the administrative costs associated with insurance claims processing.
The facility's cash rate of $15.00 is notably lower than the state and county averages, with the median paid amount for this service across all payers being $52.00. This suggests that commercial insurance contracts often result in higher out-of-pocket costs for patients compared to direct payment. Furthermore, the Medicare benchmark for this procedure is $6.70, indicating that the facility's cash rate is higher than the federal baseline but still represents a substantial discount compared to the full negotiated rates. To ensure you are receiving the best possible rate, it is recommended to request a formal itemized bill before scheduling and to verify whether any "self-pay" or "prompt-pay" discounts are available, as these can significantly reduce the final charge.