Blood test, magnesium
Facility: Golden Valley Memorial Hospital
Billing Code: 83735 (CPT)
- CPT Billing Code: 83735
- Insurance Median: $7
- Cash Discount Price: $53
- vs. Medicare Baseline: 1.04x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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 | $7 | 104% |
| Home State Health | $7 | 104% |
| Humana | $7 | 104% |
| UnitedHealthcare | $7 - $11 | 104% |
| Ambetter / Centene | $8 | 119% |
Consumer Guidance & Cost Commentary
For patients paying out of pocket, this blood test service is priced at $53, which is the median cash rate for this procedure at Golden Valley Memorial Hospital in Clinton, Missouri. It is important to note that while cash payments can sometimes be cheaper than insurance reimbursement, especially for those with high deductibles, the insurance negotiated rate for this service is $7. This means that for most insured patients, the out-of-pocket cost via insurance will be significantly lower than paying the full cash price. We strongly advise checking with the hospital directly to confirm if they offer "self-pay" or "prompt-pay" discounts that could further reduce the amount owed before you schedule your visit.
When viewed against broader benchmarks, the facility's cash rate of $53 is notably higher than the state of Missouri average of $6.70, which is based on Medicare reimbursement rates. However, commercial insurance contracts typically cap costs at the negotiated rate of $7, which remains well below the facility's cash price. This discrepancy highlights that while the hospital's list price is inflated compared to federal cost standards, the actual amount most patients will pay through their insurance plans is fixed and predictable. Always verify your specific plan's allowed amount and ensure you are aware of your deductible status before assuming the lowest possible price.