CMS Price Transparency Data

Blood test, magnesium

Facility: T J Samson Community Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83735
Insurance Median: $10
Cash Discount Price: $29
vs. Medicare Baseline: 1.49x Medicare

The contracted insurance negotiated median rate for a Blood test, magnesium at T J Samson Community Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $29. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 1.49x the Medicare baseline. Located in 1301 North Race Street, Glasgow, KY.

Cash / Self-Pay

$29

Average discount available for prompt cash payment at this facility.

Insurance Median

$10

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: $29 (433%)

Insurance Median: $10 (149%)

Cash: $29 (433% of Medicare)

Ins. Median: $10 (149% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Caresource - All Plans	$1 - $5	15%
Blue Cross Blue Shield	$6 - $60	90%
Devoted Mcr Adv - All Plans	$7	104%
Humana	$7 - $71	104%
Molina Mcr Adv	$7	104%
Signature Health - All Plans	$7	104%
Wellcare Mcaid	$7	104%
Wellcare Mcr Adv - All Other Plans	$7	104%
UnitedHealthcare	$8 - $36	119%
Molina Marketplace - All Other Plans	$10	149%
Center Care Select - All Plans	$14 - $60	209%
First Health - All Plans	$16 - $67	239%
Phcs/Multiplan - All Plans	$16 - $67	239%
Aetna	$17 - $71	254%
Molina Mcaid	$18 - $73	269%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $29.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 83735.

Insurance In-Network Protection Plan

Contact your insurance company to confirm T J Samson Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 83735.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.