Blood test, magnesium
Facility: Mitchell County Hospital Health Systems
Billing Code: 83735 (CPT)
- CPT Billing Code: 83735
- Insurance Median: $25
- Cash Discount Price: $42
- 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 |
|---|---|---|
| UnitedHealthcare | $7 - $68 | 104% |
| Triwest Well Mark All Plans | $21 - $58 | 313% |
| First Health-All Plans | $22 - $61 | 328% |
| Pref Hlth Care Sytms Comm - All Plans | $22 - $61 | 328% |
| Aetna | $22 - $61 | 328% |
| Phc Leased Ntwrk Access - All Plans | $24 - $65 | 358% |
| Multiplan Ppo - All Plans | $24 - $65 | 358% |
| Auxiant-All Plans | $24 - $65 | 358% |
| Health Partners Ks-All Plans | $25 - $67 | 373% |
| Cigna | $25 - $67 | 373% |
| Blue Cross Blue Shield | $26 | 388% |
Consumer Guidance & Cost Commentary
For the blood test for magnesium (CPT 83735) at Mitchell County Hospital Health Systems in Beloit, KS, the facility's cash price of $42.00 is notably higher than the state average of $25.00 and the county average of $25.00. While the facility's negotiated rates for commercial payers range from $7 to $68, these amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying the cash rate directly, provided they have no other coverage. It is important to note that the facility's negotiated rates are significantly higher than the Medicare benchmark of $6.70, reflecting the typical administrative markup and contract dynamics that inflate commercial pricing.
Patients should be aware that while the facility is a Critical Access Hospital owned by the local government, the lack of a "self-pay" or "prompt-pay" discount in the provided data suggests that upfront payment may not yield a reduction below the current cash rate. Furthermore, because the facility is in-network for major carriers like UnitedHealthcare and Aetna, members are protected from balance billing for this service under the No Surprises Act, ensuring they only pay their allowed amount rather than the full chargemaster. To ensure you are receiving the best possible rate, verify your specific plan's deductible status before scheduling, as paying the cash price of $42.00 could be more cost-effective than having your insurance apply a negotiated rate that may exceed this amount.