Blood test, magnesium
Facility: Neosho Memorial Regional Medical Center
Billing Code: 83735 (CPT)
- CPT Billing Code: 83735
- Insurance Median: $37
- Cash Discount Price: $86
- 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 |
|---|---|---|
| Medicaid / KanCare | $7 | 104% |
| Blue Cross Blue Shield | $29 - $37 | 433% |
| Tricare | $35 | 522% |
| Humana | $37 | 552% |
| Va_Ccn | $37 | 552% |
| Aetna | $37 | 552% |
| Medicare (plans) | $37 | 552% |
| Medadv_Allwell | $37 | 552% |
| Medadv_Uhc | $37 | 552% |
| Ambetter / Centene | $38 | 567% |
| Wppa_Providrscare | $95 | 1418% |
| United | $95 | 1418% |
| Hpk | $109 | 1627% |
| Coventry | $109 | 1627% |
| Cigna | $109 | 1627% |
Consumer Guidance & Cost Commentary
For the blood test, magnesium procedure (CPT 83735) at Neosho Memorial Regional Medical Center in Chanute, KS, the facility's cash price is $86.00, while the median amount paid by insurance is $78.00. This cash rate is notably lower than the facility's negotiated rates, which range from $7 to $109 depending on the payer, with most commercial plans settling around $37 to $38. Although the cash price is higher than the facility's self-reported median paid amount, patients with high-deductible plans may find paying cash directly more cost-effective if their insurance negotiated rate exceeds $86.00. It is important to note that while the facility is a Critical Access Hospital with government local ownership, patients should always verify their specific plan's allowed amount before scheduling, as commercial rates can vary significantly across different insurance carriers.
When reviewing your bill, be aware that commercial negotiated rates often include administrative overhead and contract premiums that can inflate the final cost compared to direct cash payment. If you receive a bill from an out-of-network provider or for services not covered by your plan, you may encounter balance billing, where the provider charges the difference between their full list price and what your insurance pays. However, federal protections under the No Surprises Act generally prevent balance billing for emergency care and non-emergency services at in-network facilities. Additionally, since over 80% of hospital bills contain errors, you have the right to request an itemized audit to identify unbundled codes or services not rendered. Before paying, consider asking the billing department about prompt-pay discounts, which can reduce the total cost by 20% to