Blood test, magnesium
Facility: Kingman Healthcare Center
Billing Code: 83735 (CPT)
- CPT Billing Code: 83735
- Insurance Median: $37
- Cash Discount Price: $24
- vs. Medicare Baseline: 5.52x 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 552% of the Medicare baseline (a markup of 452%). 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 | $2 - $83 | 30% |
| Cigna | $2 - $83 | 30% |
| Aetna | $2 - $83 | 30% |
| Health Partners | $2 - $83 | 30% |
| Triwest | $7 | 104% |
| Healthy Blue | $7 | 104% |
| Medicaid / KanCare | $7 - $40 | 104% |
| Celtic Insurance Company | $37 - $40 | 552% |
| Humana | $37 | 552% |
| Wellcare | $37 | 552% |
| Ambetter / Centene | $40 | 597% |
Consumer Guidance & Cost Commentary
For the CPT code 83735 (Blood test, magnesium) at Kingman Healthcare Center in Kansas, the facility's cash median price of $24.00 is notably lower than the state average, which sits at $37.00. While commercial payers like UnitedHealthcare, Cigna, and Aetna have negotiated rates ranging from $2 to $83 depending on the specific plan, these amounts often exceed the cash price. For patients with high-deductible plans or those without insurance, paying the cash rate directly can be more cost-effective than relying on insurance, which may result in higher out-of-pocket costs if the negotiated rate exceeds the cash price. It is advisable 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 bill.
The facility's Medicare benchmark of $6.70 serves as a critical baseline for evaluating pricing fairness, as commercial rates typically range from 200% to 300% of this amount, whereas fair pricing is generally defined between 120% and 150%. Although the facility is a voluntary non-profit Critical Access Hospital, patients should remain vigilant regarding balance billing, particularly if receiving out-of-network services such as emergency care or ancillary lab tests, where the No Surprises Act protects against unexpected charges. If a bill arrives that appears inflated, consumers should request a full itemized audit to identify errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain discrepancies that can be resolved through formal written disputes rather than verbal agreements.