Blood test, magnesium
Facility: Greenwood County Hospital
Billing Code: 83735 (CPT)
- CPT Billing Code: 83735
- Insurance Median: $60
- Cash Discount Price: $57
- vs. Medicare Baseline: 8.96x 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 896% of the Medicare baseline (a markup of 796%). 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 |
|---|---|---|
| UnitedHealthcare | $5 - $60 | 75% |
| Blue Cross Blue Shield | $24 - $26 | 358% |
| Triwest - All Plans | $25 | 373% |
| Tricare | $30 | 448% |
| Choicecare Mcr Adv - All Plans | $30 | 448% |
| Integrated Health Plan - All Plans | $53 | 791% |
| First Health Ccn Network | $60 | 896% |
| First Health - All Other Plans | $60 | 896% |
| Beech Street - All Plans | $60 | 896% |
| Preferred Hs (Coventry) - All Plans | $64 | 955% |
| Principal Health Care Inc - All Plans | $67 | 1000% |
| Medicaid / KanCare | $71 | 1060% |
| Amerigroup Mcaid-All Plans | $71 | 1060% |
| Providrs Care/Wppa - All Plans | $106 | 1582% |
Consumer Guidance & Cost Commentary
For this blood test, magnesium procedure at Greenwood County Hospital in Eureka, Kansas, the facility's cash median price is $57.00, which is lower than the state average of $60.00. While many insurance plans negotiate rates ranging from $5 to $106, these amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying out-of-pocket. It is important to note that commercial negotiated rates frequently include administrative overhead and can be significantly higher than the true cost of care, which is best represented by the Medicare benchmark of $6.70.
To maximize savings, patients should proactively ask about "prompt-pay" discounts, which can reduce bills by 20% to 50% when paid in full upfront, bypassing the costly insurance claims process. Additionally, if you have insurance, verify your deductible status before scheduling, as paying the negotiated rate without meeting your deductible could result in higher out-of-pocket costs than paying cash. Finally, always request an itemized bill before paying to ensure no errors exist, as summary bills often obscure individual charges that could be disputed.