CMS Price Transparency Data

Blood test, magnesium

Facility: Promedica Monroe Regional Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $9
  • Cash Discount Price: $31
  • vs. Medicare Baseline: 1.34x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Promedica Monroe Regional Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $31. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 1.34x the Medicare baseline. Located in 718 N Macomb St, Monroe, MI.
Cash / Self-Pay
$31

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $31 (463%)
Insurance Median: $9 (134%)
Cash: $31 (463% of Medicare)
Ins. Median: $9 (134% 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.

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
Aetna $4 - $7 60%
Blue Cross Blue Shield $4 - $26 60%
Meridian $4 60%
Molina Healthcare Of Michigan $4 60%
Priority Health $4 - $26 60%
UnitedHealthcare $4 - $38 60%
Paramount Healthcare Inc $6 - $36 90%
Health Alliance Plan $7 - $8 104%
Humana $7 104%
Veterans Affairs $7 104%
Amerihealth $8 119%
Frontpath $27 403%
Encore Health Network $33 493%
Health Ohio Network, Llc $33 493%
Cofinity $34 507%
Multiplan $42 627%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 718 N Macomb St, Monroe, MI 48162
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals