CMS Price Transparency Data

Blood test, magnesium

Facility: Munson Healthcare Otsego Memorial Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83735
Insurance Median: $43
Cash Discount Price: $50
vs. Medicare Baseline: 6.42x Medicare

The contracted insurance negotiated median rate for a Blood test, magnesium at Munson Healthcare Otsego Memorial Hospital is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 6.42x the Medicare baseline. Located in 825 N Center Ave, Gaylord, MI.

Cash / Self-Pay

$50

Average discount available for prompt cash payment at this facility.

Insurance Median

$43

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: $50 (746%)

Insurance Median: $43 (642%)

Cash: $50 (746% of Medicare)

Ins. Median: $43 (642% 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 642% of the Medicare baseline (a markup of 542%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
UnitedHealthcare	$2 - $52	30%
Blue Cross Blue Shield	$4 - $41	60%
Mclaren Health Plan	$4 - $54	60%
Meridian	$4	60%
Molina	$4 - $7	60%
Priority Health	$4 - $14	60%
Aetna	$6 - $53	90%
Blue Care Network	$7	104%
Cigna	$7 - $14	104%
Hap (Health Alliance Plan)	$7 - $52	104%
Humana	$7	104%
Medicare (plans)	$7	104%
Michigan Amish Medical Board	$7	104%
Northern Michigan Mennonite Group	$7	104%
Employee Benefit Logistics	$11	164%
Hospice Of Michigan	$31 - $39	463%
Munson Hospice	$36 - $852	537%
Asr Physicians Care Network	$41 - $52	612%
Enterprise Group Planning/Employee Benefit Plan	$41 - $52	612%
Nomi Health	$41 - $52	612%
Cofinity	$43 - $58	642%
Provider Network Of America/Hawaii Mainland Administrative Group Health	$43 - $55	642%
Three Rivers Provider Network	$43 - $55	642%

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 $50.
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 Munson Healthcare Otsego Memorial 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.