CMS Price Transparency Data

Blood test, magnesium

Facility: Greeley County Health Services

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $7
  • Cash Discount Price: $43
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Greeley County Health Services is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $43. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 1.04x the Medicare baseline. Located in 506 3Rd Street, Tribune, KS.
Cash / Self-Pay
$43

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$6.7

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $6.7 (100%)
Cash / Self-Pay: $43 (642%)
Insurance Median: $7 (104%)
Cash: $43 (642% of Medicare)
Ins. Median: $7 (104% of 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Medicaid / KanCare $7 104%
Aetna $7 104%

Consumer Guidance & Cost Commentary

For this blood magnesium test at Greeley County Health Services, the cash price of $43.00 is notably lower than the facility's gross charge of $61.00. While the facility is a Critical Access Hospital in Tribune, KS, with government-local ownership, the data does not provide specific county or state average comparisons for this procedure. However, the cash rate of $43.00 is significantly lower than the Medicare benchmark of $6.70, which serves as the federal baseline for cost. It is important to note that while cash prices can be attractive, commercial insurance negotiated rates for this service are listed at $7.00. Patients with high-deductible plans should consider that paying the cash price upfront might be more cost-effective than relying on insurance, especially if their deductible has not yet been met or if the insurance allowed amount exceeds the cash rate.

When using insurance, patients should be aware of the difference between the gross charge and the negotiated rate. Although the facility has contracts with payers like Medicaid/KanCare and Aetna, the negotiated rate of $7.00 is still lower than the gross charge, reflecting the administrative costs and contract terms involved. If a patient chooses to pay out-of-pocket, they should explicitly ask the billing department about "prompt-pay" discounts, which can reduce the final bill by 20% to 50% for upfront payment. Additionally, patients should request a full itemized bill before paying to ensure no errors exist, as over 80% of hospital bills contain mistakes. If any charges appear incorrect, a formal written dispute should be sent to the billing supervisor rather than settling verbally.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 506 3Rd Street, Tribune, KS 67879
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals