Blood test, magnesium
Facility: Wilson Medical Center
Billing Code: 83735 (CPT)
- CPT Billing Code: 83735
- Insurance Median: $25
- Cash Discount Price: $21
- vs. Medicare Baseline: 3.73x 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 373% of the Medicare baseline (a markup of 273%). 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 | $4 - $48 | 60% |
| Humana | $4 - $25 | 60% |
| Ambetter / Centene | $4 - $48 | 60% |
| UnitedHealthcare | $4 - $45 | 60% |
| Tricare | $4 - $25 | 60% |
| Cigna | $6 - $38 | 90% |
| Health Partners-All Plans | $6 - $44 | 90% |
| Mulitplan-All Plans | $6 - $44 | 90% |
| Blue Cross Blue Shield | $7 - $48 | 104% |
Consumer Guidance & Cost Commentary
For the blood test for magnesium at Wilson Medical Center in Neodesha, Kansas, the facility's cash price of $21.00 is lower than the state average, which sits at $25.00. While the median amount paid by insurance plans is $25.00, patients with high-deductible plans may find paying the cash price directly more cost-effective, as the negotiated rates from major payers like Aetna, Humana, and UnitedHealthcare often exceed the cash amount. Because this service is billed under CPT code 83735, it is important to verify your specific plan's deductible status before scheduling, as paying the full negotiated rate can sometimes result in higher out-of-pocket costs if your deductible has not yet been met.
To ensure you are not overcharged, we recommend requesting an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that should be consolidated. Additionally, if you are self-paying, ask the facility about "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid upfront, bypassing the administrative costs associated with insurance claims processing. Finally, remember that the Medicare benchmark for this service is $6.70; comparing your negotiated or cash rate to this federal baseline rather than the hospital's gross charge provides a clearer picture of the facility's markup and ensures you are paying a fair price relative to the true cost of care.