Blood test, magnesium
Facility: Kiowa District Hospital
Billing Code: 83735 (CPT)
- CPT Billing Code: 83735
- Insurance Median: $49
- Cash Discount Price: $42
- vs. Medicare Baseline: 7.31x 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 731% of the Medicare baseline (a markup of 631%). 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 |
|---|---|---|
| Healthchoice-All Plans | $10 | 149% |
| Tricare | $20 | 299% |
| Blue Cross Blue Shield | $26 | 388% |
| UnitedHealthcare | $42 - $52 | 627% |
| Health Partners Of Ks-All Plans | $46 | 687% |
| Humana | $47 | 701% |
| Gbs Insurance - All Plans | $49 | 731% |
| Triwest-All Plans | $49 | 731% |
| Aetna | $49 | 731% |
| Multiplan-All Plans | $49 | 731% |
| Medicare (plans) | $49 | 731% |
| Medicaid / KanCare | $52 | 776% |
| Providers Care (Wppa)-All Plans | $78 | 1164% |
| Liberty Healthshare-All Plans | $84 | 1254% |
Consumer Guidance & Cost Commentary
For the blood test, magnesium procedure (CPT 83735) at Kiowa District Hospital in Kiowa, KS, the facility's cash median rate is $42.00, while the median negotiated rate paid by insurance plans is $49.00. This data reflects a scenario where paying out-of-pocket directly may be more cost-effective than using insurance, as the cash price is lower than the average amount insurers negotiate. Patients with high-deductible plans should consider this difference, as utilizing insurance could result in a higher out-of-pocket expense if the negotiated rate exceeds the cash price. To potentially lower costs further, individuals should contact the hospital directly to inquire about self-pay or prompt-pay discounts, which often provide additional reductions for upfront payments.
The facility's pricing is benchmarked against the Medicare rate of $6.70, which serves as a federal cost baseline for healthcare delivery. While the gross chargemaster price listed is $52.00, the actual negotiated rates across 14 payers range from $10.00 to $84.00, with most plans falling between $42.00 and $52.00. It is important to note that commercial negotiated rates often include administrative overhead and do not represent the true cost of care; fair pricing is typically defined as 120% to 150% of the Medicare rate. Consumers should avoid accepting summary bills and instead request a detailed, itemized statement to ensure no errors exist, as over 80% of hospital bills contain discrepancies. Additionally, if a patient receives care from an out-of-network provider at this facility, the No Surprises Act generally protects them