CMS Price Transparency Data

Blood test, magnesium

Facility: Helen Newberry Joy Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $20
  • Cash Discount Price: $27
  • vs. Medicare Baseline: 2.99x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Helen Newberry Joy Hospital is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $27. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 2.99x the Medicare baseline. Located in 502 W Harrie St, Newberry, MI.
Cash / Self-Pay
$27

Average discount available for prompt cash payment at this facility.

Insurance Median
$20

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: $27 (403%)
Insurance Median: $20 (299%)
Cash: $27 (403% of Medicare)
Ins. Median: $20 (299% 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 299% of the Medicare baseline (a markup of 199%). 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
Mi Wc - All Plans $2 - $52 30%
Aetna $5 - $77 75%
Blue Cross Blue Shield $5 - $80 75%
Cigna $5 - $79 75%
Health Alliance - All Plans $5 - $79 75%
Uphg Tpa - All Plans $5 - $73 75%
Vital Core - All Plans $5 - $79 75%
First Health - All Plans $6 - $77 90%
Healtheos - All Plans $6 - $79 90%
Ppom/Cofinity - All Plans $6 - $77 90%
Priority Health - All Plans $6 - $79 90%
UnitedHealthcare $6 - $79 90%
Uphp Mcaid - All Plans $6 - $38 90%
Va - All Plans $7 - $33 104%
Humana $8 - $33 119%
Mi Health Link - All Plans $8 - $33 119%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 502 W Harrie St, Newberry, MI 49868
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals