CMS Price Transparency Data
Blood test, magnesium
Facility: Mercy Hospital Springfield
Billing Code: 83735 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 83735
- Insurance Median: $53
- Cash Discount Price: $108
- vs. Medicare Baseline: 7.91x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Mercy Hospital Springfield is $53. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $108. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 7.91x the Medicare baseline. Located in 2115 S. Fremont Ave, Springfield, MO.
Cash / Self-Pay
$108
Average discount available for prompt cash payment at this facility.
Insurance Median
$53
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: $108 (1612%)
Insurance Median: $53 (791%)
Cash: $108 (1612% of Medicare)
Ins. Median: $53 (791% 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 791% of the Medicare baseline (a markup of 691%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $5 - $130 | 75% |
| Aetna | $6 - $8 | 90% |
| Humana | $6 - $116 | 90% |
| Medica Contracted [320239] | $6 | 90% |
| Medica [20239] | $6 | 90% |
| Medicaid / KanCare | $6 - $13 | 90% |
| Centurion Of Missouri [20459] | $7 | 104% |
| Champva [20065] | $7 | 104% |
| Cherokee Nation Health Serv Contracted [320066] | $7 | 104% |
| Cigna | $7 - $39 | 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% |
| Indian Health Service Contracted [320198] | $7 | 104% |
| Indian Health Service [20198] | $7 | 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% |
| Mercy Rehab Hospital Contracted [320260] | $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% |
| United Medical Resources Contracted [320454] | $7 - $88 | 104% |
| UnitedHealthcare | $7 - $131 | 104% |
| Healthscope Contracted [320182] | $8 | 119% |
| Centivo Contracted [320505] | $11 | 164% |
| Aither Health Contracted [320449] | $13 - $97 | 194% |
| Ambetter / Centene | $13 | 194% |
| Auxiant Contracted [320462] | $13 - $110 | 194% |
| Ebms Contracted [320493] | $13 | 194% |
| Healthlink Contracted [320179] | $13 - $40 | 194% |
| Home State Health Plan Contracted [320187] | $13 | 194% |
| Imagine 360 Contracted [320494] | $13 | 194% |
| Mercy Benefit Admin Contracted [320251] | $13 - $97 | 194% |
| Novasys Contracted [320285] | $13 | 194% |
| Providrs Care Network Contracted [320484] | $13 | 194% |
| Reflect Health Contracted [320492] | $13 | 194% |
| Yuzu Health Contracted [320521] | $13 | 194% |
| 90 Degree Benefits Contracted [320436] | $39 | 582% |
| Show-Me Health Administrators Contracted [320483] | $39 - $41 | 582% |
| Benefit Management Contracted [320052] | $65 - $68 | 970% |
| Health Systems Inc Contracted [320174] | $65 - $68 | 970% |
| Insurance System Inc Contracted [320465] | $65 - $68 | 970% |
| Administrative Payor Contracted [320005] | $73 - $85 | 1090% |
| Evolutions Health Care Contracted [320124] | $73 - $76 | 1090% |
| Point C Contracted [320238] | $73 - $128 | 1090% |
| Point C [20238] | $73 - $76 | 1090% |
| Medical Destinations Contracted [320242] | $81 - $85 | 1209% |
| Workers Comp [20426] | $81 - $144 | 1209% |
| First Health Contracted [320128] | $91 - $95 | 1358% |
| Edison Health Solutions Contracted [320502] | $92 - $97 | 1373% |
| Federal Medical Center Contracted [320127] | $97 - $102 | 1448% |
| Multiplan Contracted [320270] | $125 - $131 | 1866% |
| Private Health Care Systems Contracted [320320] | $125 - $131 | 1866% |
| Compcare Of The Ozarks Contracted [320437] | $128 - $134 | 1910% |
| American Healthcare Alliance Contracted [320020] | $130 - $136 | 1940% |
| Qual Choice Contracted [320324] | $130 - $136 | 1940% |
| Municipal Health Plan Contracted [320271] | $131 - $138 | 1955% |
| Usa Managed Care Org Contracted [320429] | $143 - $150 | 2134% |
| Ppo Plus Contracted [320310] | $146 - $153 | 2179% |