CMS Price Transparency Data

Blood test, magnesium

Facility: Mercy Hospital Southeast

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $33
  • Cash Discount Price: $117
  • vs. Medicare Baseline: 4.93x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Mercy Hospital Southeast is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $117. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 4.93x the Medicare baseline. Located in 1701 Lacey St, Cape Girardeau, MO.
Cash / Self-Pay
$117

Average discount available for prompt cash payment at this facility.

Insurance Median
$33

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: $117 (1746%)
Insurance Median: $33 (493%)
Cash: $117 (1746% of Medicare)
Ins. Median: $33 (493% 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 493% of the Medicare baseline (a markup of 393%). 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
Aetna $3 - $189 45%
Medicaid / KanCare $3 - $44 45%
American Health Advantage Of Mo Mcr Hmo Contracted [320264] $7 104%
Blue Cross Blue Shield $7 - $281 104%
Cross Timbers Hospice [20098] $7 104%
Dept Of Veteran Affairs Contracted [320106] $7 104%
Elara Caring Aspire Hospice Contracted [320433] $7 104%
Elara Caring Aspire Hospice [20433] $7 104%
Halo Hcr Inc Hospice Contracted [320432] $7 104%
Halo Hcr Inc Hospice [20432] $7 104%
Humana $7 - $252 104%
Kindful Hospice Contracted [320434] $7 104%
Kindful Hospice [20434] $7 104%
Medicare (plans) $7 104%
Mercy Hospice Okc [20252] $7 104%
Pace Of The Ozarks Contracted [320518] $7 104%
Tricare $7 104%
UnitedHealthcare $7 - $16 104%
Provider Partners Health Plans Contracted [320450] $8 119%
United Medical Resources Contracted [320454] $8 119%
Ambetter / Centene $9 134%
Consociate Consolidated Health Contracted [320490] $9 - $15 134%
Home State Health Plan Contracted [320187] $9 134%
Auxiant Contracted [320462] $11 - $13 164%
Centivo Contracted [320505] $11 164%
Ebms Contracted [320493] $11 164%
Healthlink Contracted [320179] $11 - $231 164%
Imagine 360 Contracted [320494] $11 164%
Mercy Benefit Admin Contracted [320251] $11 - $201 164%
Reflect Health Contracted [320492] $11 164%
Yuzu Health Contracted [320521] $11 - $201 164%
Preferred Health Plan Contracted [320522] $12 179%
Hope Trust Contracted [320488] $16 239%
Cigna $18 269%
First Health Contracted [320128] $31 - $189 463%
Health Alliance Contracted [320164] $32 - $192 478%
Aither Health Contracted [320449] $33 - $201 493%
Edison Health Solutions Contracted [320502] $33 - $201 493%
Mercy Benefit Admin [20251] $33 - $201 493%
Workers Comp [20426] $37 - $237 552%
Multiplan Contracted [320270] $39 - $237 582%
Private Health Care Systems Contracted [320320] $39 - $237 582%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1701 Lacey St, Cape Girardeau, MO 63701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals