CMS Price Transparency Data

Blood test, magnesium

Facility: Northeast Regional Medical Center

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $117
  • Cash Discount Price: $130
  • vs. Medicare Baseline: 17.46x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Northeast Regional Medical Center is $117. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $130. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 17.46x the Medicare baseline. Located in 315 S Osteopathy, Kirksville, MO.
Cash / Self-Pay
$130

Average discount available for prompt cash payment at this facility.

Insurance Median
$117

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: $130 (1940%)
Insurance Median: $117 (1746%)
Cash: $130 (1940% of Medicare)
Ins. Median: $117 (1746% 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 1746% of the Medicare baseline (a markup of 1646%). 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.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Medicaid / KanCare $6 - $10 90%
Node Champva $6 90%
Tricare $6 90%
Blue Access $7 104%
Blue Cross Blue Shield $7 - $100 104%
Blue Pathway/Pathway X $7 104%
Blue Prefrerred $7 104%
Medicare (plans) $7 104%
Node Devoted Health Mcr Adv $7 104%
Node Hospice Non Par Agree $7 104%
Node Va $7 104%
UnitedHealthcare $7 - $247 104%
Veterans Eval Services $7 104%
Centurion Correctional $8 119%
Us Department Of Labor $8 119%
Home State Exchange $12 179%
Immergrun $13 194%
Naphcare $13 194%
Self Pay $79 - $181 1179%
Cigna $112 - $129 1672%
Aetna $122 - $274 1821%
Access Health Services, Llc $214 3194%
Healthlink $247 - $263 3687%
Multiplan $247 - $263 3687%
Coventry Wc $263 3925%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 315 S Osteopathy, Kirksville, MO 63501
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals