Blood test, magnesium
Facility: Community Memorial Healthcare, Inc.
Billing Code: 83735 (CPT)
- CPT Billing Code: 83735
- Insurance Median: $26
- Cash Discount Price: $52
- vs. Medicare Baseline: 3.88x 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 388% of the Medicare baseline (a markup of 288%). 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 | $16 - $42 | 239% |
| UnitedHealthcare | $19 - $32 | 284% |
| Blue Cross Blue Shield | $26 | 388% |
Consumer Guidance & Cost Commentary
For this blood magnesium test at Community Memorial Healthcare in Marysville, Kansas, the cash price is $52.00, which matches the facility's median negotiated rate and is significantly higher than the state average of $26.00. While commercial insurance plans like Aetna and UnitedHealthcare negotiate rates between $16 and $42, these amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying out-of-pocket directly. It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should still verify their specific plan details and ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final cost.
The facility's pricing for this service is 3.9 times the Medicare benchmark of $6.70, which serves as a reliable baseline for evaluating commercial rate markups. Although the facility is a voluntary non-profit Critical Access Hospital with a strong rating of 4, the lack of a clear cash discount in the provided data suggests that paying directly may not offer a reduction below the standard cash price of $52.00. To ensure you are receiving the most accurate and transparent billing, we recommend requesting a full itemized CPT-coded bill to review every charge individually, as summary invoices often obscure unbundled codes or services not rendered. If you receive a bill that seems inconsistent with these rates, you have the right to dispute it in writing with the billing supervisor rather than accepting a summary total.