Blood test, magnesium
Facility: Hiawatha Community Hospital
Billing Code: 83735 (CPT)
- CPT Billing Code: 83735
- Insurance Median: $62
- Cash Discount Price: $69
- vs. Medicare Baseline: 9.25x 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 925% of the Medicare baseline (a markup of 825%). 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 |
|---|---|---|
| Aetna | $25 - $122 | 373% |
| Blue Cross Blue Shield | $25 - $26 | 373% |
| UnitedHealthcare | $25 - $130 | 373% |
| Humana | $25 - $56 | 373% |
| Ambetter / Centene | $30 - $67 | 448% |
| Oscar - All Plans | $51 - $113 | 761% |
| Centrus Health Direct - All Plans | $51 - $113 | 761% |
| Preferred Hlth - All Plans | $61 - $136 | 910% |
| Wppa Providrs Care - All Plans | $65 - $143 | 970% |
| Cigna | $65 - $143 | 970% |
| Midlands Choice - All Plans | $66 - $146 | 985% |
| Multiplan - All Plans | $66 - $146 | 985% |
| Healthy Blue Mcaid - All Plans | $68 - $151 | 1015% |
Consumer Guidance & Cost Commentary
For the blood test, magnesium procedure (CPT 83735) at Hiawatha Community Hospital in Hiawatha, KS, the cash price is $69.00, which matches the facility's median negotiated rate of $62.00 and the cash median. This cash price is notably higher than the Medicare benchmark of $6.70, indicating a significant markup relative to the federal baseline. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should be aware that commercial insurance plans negotiate rates that often exceed cash prices; for instance, Aetna's range spans from $25 to $122, and UnitedHealthcare's range extends up to $130. Because the cash price is lower than many of these negotiated ranges, paying out-of-pocket may result in immediate savings for patients with high-deductible plans or those who have already met their out-of-pocket maximums.
To maximize potential savings, patients should proactively inquire about "self-pay" or "prompt-pay" discounts before scheduling or checking in, as these upfront payment incentives can reduce the final bill by 20% to 50%. It is crucial to request a waiver of insurance submission to ensure the hospital does not automatically process a claim that would void any cash discount agreement. Additionally, since over 80% of hospital bills contain errors, patients should always request a full itemized CPT-coded statement rather than accepting a summary bill, allowing them to identify unbundled codes or services not rendered. While the facility is located in a specific county, the provided data does not include explicit state or county average comparisons for this specific code, so patients should rely on