CMS Price Transparency Data

Blood test, magnesium

Facility: Minneola District Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $26
  • Cash Discount Price: $23
  • vs. Medicare Baseline: 3.88x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Minneola District Hospital is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 3.88x the Medicare baseline. Located in 212 Main, Minneola, KS.
Cash / Self-Pay
$23

Average discount available for prompt cash payment at this facility.

Insurance Median
$26

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: $23 (343%)
Insurance Median: $26 (388%)
Cash: $23 (343% of Medicare)
Ins. Median: $26 (388% 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.

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.

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
UnitedHealthcare $17 - $39 254%
Va Community Care Program-All Plans $17 - $26 254%
Humana $17 - $26 254%
Corporate Plan Management-All Plans $22 - $33 328%
Providrs Care Network-All Plans $22 - $33 328%
Triwest-All Plans $23 - $35 343%
Preferred Health Care (Coventry)-All Other Plans $23 - $35 343%
Aetna $25 - $39 373%
Health Partners Of Kansas-All Plans $25 - $37 373%
Phc (Coventry) Leased Network $25 - $37 373%
Medicaid / KanCare $26 - $39 388%
Blue Cross Blue Shield $26 388%

Consumer Guidance & Cost Commentary

For the blood test for magnesium at Minneola District Hospital, the cash median price is $23.00, which is lower than the facility's negotiated rate of $26.00. While the facility is a Critical Access Hospital in Kansas, the specific county or state average for this procedure is not provided in the available data. Patients with high-deductible plans may find it beneficial to pay the cash price directly, as it avoids the administrative markup often found in insurance negotiated rates. It is important to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available, as these upfront payment incentives can further reduce the final cost.

The Medicare benchmark for this service is $6.70, which serves as a baseline for evaluating the facility's pricing structure. The commercial negotiated rates range from $17.00 to $39.00 across various payers, with the lowest negotiated amount being $17.00 for UnitedHealthcare and the highest reaching $39.00 for UnitedHealthcare, Aetna, and Medicaid/KanCare. Because commercial rates can vary significantly by insurance plan, patients should verify their specific allowed amount before scheduling. If a patient receives an itemized bill that appears higher than expected, they should request a detailed line-by-line audit to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain discrepancies that can be corrected.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 212 Main, Minneola, KS 67865
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals