CMS Price Transparency Data

Blood test, magnesium

Facility: Mercy Hospital Lebanon

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83735
Insurance Median: $72
Cash Discount Price: $85
vs. Medicare Baseline: 10.75x Medicare

The contracted insurance negotiated median rate for a Blood test, magnesium at Mercy Hospital Lebanon is $72. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $85. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 10.75x the Medicare baseline. Located in 100 Hospital Drive, Lebanon, MO.

Cash / Self-Pay

$85

Average discount available for prompt cash payment at this facility.

Insurance Median

$72

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: $85 (1269%)

Insurance Median: $72 (1075%)

Cash: $85 (1269% of Medicare)

Ins. Median: $72 (1075% 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 1075% of the Medicare baseline (a markup of 975%). 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
Medica Contracted [320239]	$6	90%
Medica [20239]	$6	90%
Medicaid / KanCare	$6 - $14	90%
Aetna	$7 - $129	104%
Blue Cross Blue Shield	$7 - $66	104%
Champva [20065]	$7	104%
Cherokee Nation Health Serv Contracted [320066]	$7	104%
Cigna	$7 - $127	104%
Cross Timbers Hospice [20098]	$7	104%
Dept Of Veteran Affairs Contracted [320106]	$7	104%
Elara Caring Aspire Hospice [20433]	$7	104%
Globalhealth Contracted [320145]	$7	104%
Halo Hcr Inc Hospice Contracted [320432]	$7	104%
Halo Hcr Inc Hospice [20432]	$7	104%
Humana	$7 - $146	104%
Kindful Hospice Contracted [320434]	$7	104%
Kindful Hospice [20434]	$7	104%
Medicare (plans)	$7	104%
Mercy Hospice Okc [20252]	$7	104%
Mercy Mgd Behavioral Health Contracted [320259]	$7	104%
Pace Of The Ozarks Contracted [320518]	$7	104%
Provider Partners Health Plans Contracted [320450]	$7	104%
Qual Choice Contracted [320325]	$7	104%
Tricare	$7	104%
UnitedHealthcare	$7 - $163	104%
Healthscope Contracted [320182]	$8	119%
United Medical Resources Contracted [320454]	$8 - $138	119%
Centivo Contracted [320505]	$11	164%
Ambetter / Centene	$14	209%
Home State Health Plan Contracted [320187]	$14	209%
Novasys Contracted [320285]	$14	209%
Administrative Payor Contracted [320005]	$40 - $77	597%
Healthlink Contracted [320179]	$58 - $146	866%
Preferred Health Plan Contracted [320522]	$58 - $112	866%
90 Degree Benefits Contracted [320436]	$68 - $129	1015%
Mercy Benefit Admin Contracted [320251]	$68 - $138	1015%
Show-Me Health Administrators Contracted [320483]	$68 - $129	1015%
Aither Health Contracted [320449]	$72 - $138	1075%
Auxiant Contracted [320462]	$72 - $138	1075%
Benefit Management Contracted [320052]	$72 - $138	1075%
Ebms Contracted [320493]	$72 - $138	1075%
Edison Health Solutions Contracted [320502]	$72 - $138	1075%
Evolutions Health Care Contracted [320124]	$72 - $138	1075%
First Health Contracted [320128]	$72 - $138	1075%
Health Systems Inc Contracted [320174]	$72 - $138	1075%
Imagine 360 Contracted [320494]	$72 - $138	1075%
Insurance System Inc Contracted [320465]	$72 - $138	1075%
Point C Contracted [320238]	$72 - $163	1075%
Point C [20238]	$72 - $138	1075%
Reflect Health Contracted [320492]	$72 - $138	1075%
Workers Comp [20426]	$72 - $146	1075%
Yuzu Health Contracted [320521]	$72 - $138	1075%
American Healthcare Alliance Contracted [320020]	$76 - $146	1134%
Usa Managed Care Org Contracted [320429]	$79 - $151	1179%
Multiplan Contracted [320270]	$86 - $163	1284%
Private Health Care Systems Contracted [320320]	$86 - $163	1284%

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 $85.
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 Mercy Hospital Lebanon 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.