Blood test, magnesium
Facility: Cloud County Health Center
Billing Code: 83735 (CPT)
- CPT Billing Code: 83735
- Insurance Median: $99
- Cash Discount Price: $73
- vs. Medicare Baseline: 14.78x 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 1478% of the Medicare baseline (a markup of 1378%). 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 | $94 - $97 | 1403% |
| Mpi-All Plans | $99 | 1478% |
| Health Partners - All Plans | $99 | 1478% |
| Pponext-All Plans | $99 | 1478% |
Consumer Guidance & Cost Commentary
For the blood test, magnesium procedure (CPT 83735) at Cloud County Health Center in Concordia, KS, the facility's cash median price is $73.00, which is lower than the negotiated rates of $99.00 paid by major insurers like Aetna, Mpi-All Plans, and Health Partners. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should be aware that paying out-of-pocket can sometimes result in lower costs than using insurance, particularly if your plan has a high deductible or if the insurance negotiated rate exceeds the cash price. It is advisable to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can further reduce the final amount owed before any insurance claim is processed.
The Medicare benchmark for this service is $6.70, which serves as a baseline for evaluating the facility's pricing markup. The commercial negotiated rate of $99.00 is significantly higher than the Medicare amount, reflecting the administrative costs and contract dynamics inherent in commercial insurance billing. Patients should avoid relying on summary bills that only show broad category totals, as these often obscure individual code costs; instead, request a full itemized CPT-coded statement to identify any errors, unbundled charges, or services not rendered. If you receive a balance bill for out-of-network ancillary services at this in-network facility, remember that the No Surprises Act generally protects you from such unexpected charges, and you should dispute any surprise bills in writing rather than paying immediately out of fear.