CMS Price Transparency Data

Blood test, magnesium

Facility: Fairview Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $49
  • Cash Discount Price: $84
  • vs. Medicare Baseline: 7.31x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Fairview Hospital is $49. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 7.31x the Medicare baseline. Located in 29 Lewis Avenue, Great Barrington, MA.
Cash / Self-Pay
$84

Average discount available for prompt cash payment at this facility.

Insurance Median
$49

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: $84 (1254%)
Insurance Median: $49 (731%)
Cash: $84 (1254% of Medicare)
Ins. Median: $49 (731% 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 731% of the Medicare baseline (a markup of 631%). 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
Capital District Physicians' Health Plan $5 - $104 75%
Medicaid / KanCare $5 - $6 75%
Aetna $6 - $87 90%
Bmchnp $6 - $7 90%
Health New England $6 - $80 90%
Point32Health $6 - $109 90%
Fallon $7 - $51 104%
Hospice $7 - $45 104%
Medicare (plans) $7 - $44 104%
Other Government $7 - $45 104%
UnitedHealthcare $7 - $99 104%
Blue Cross Blue Shield $8 - $98 119%
Commcare Alliance $8 - $44 119%
Comm Fallon Qhp $10 - $71 149%
Unicare $17 - $75 254%
Workers Comp $39 - $73 582%
Allways Nhp $40 - $74 597%
Comm Hne Hmo $40 - $86 597%
Comm Hne Ppo $43 - $86 642%
Cigna $55 - $107 821%
Mvp $55 - $104 821%
Oxford $55 - $104 821%
First Health $57 - $109 851%
Connecticare $58 - $109 866%
Consolidated Health Plans $58 - $109 866%
Other Commercial $58 - $109 866%
Phcs $58 - $109 866%
Self Pay $58 - $109 866%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 29 Lewis Avenue, Great Barrington, MA 01230
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals