CMS Price Transparency Data

Blood test, magnesium

Facility: Hermann Area District Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83735
Insurance Median: $38
Cash Discount Price: $39
vs. Medicare Baseline: 5.67x Medicare

The contracted insurance negotiated median rate for a Blood test, magnesium at Hermann Area District Hospital is $38. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $39. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 5.67x the Medicare baseline. Located in 509 W 18Th St, Hermann, MO.

Cash / Self-Pay

$39

Average discount available for prompt cash payment at this facility.

Insurance Median

$38

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: $39 (582%)

Insurance Median: $38 (567%)

Cash: $39 (582% of Medicare)

Ins. Median: $38 (567% 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 567% of the Medicare baseline (a markup of 467%). 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
Coventry - All Plans	$4	60%
UnitedHealthcare	$10 - $27	149%
Cigna	$26	388%
Tricare	$26	388%
Choicecare Mcr Adv- All Plans	$27	403%
Aetna	$29 - $62	433%
American Hlth Mcr Adv- All Plans	$29	433%
Blue Cross Blue Shield	$29 - $53	433%
Humana	$29	433%
Wellcare Mcr Adv - All Plans	$29	433%
Harmony Hp Mcaid- All Plans	$38	567%
Healthcare Usa Mcaid- All Plans	$42	627%
Healthlink Hmo	$42	627%
Ambetter / Centene	$46	687%
Healthlink Ppo - All Other Plans	$49	731%
Multiplan/Phcs - All Plans	$49	731%
Comp Results - All Plans	$58	866%
Three Rivers - All Plans	$58	866%
Care Partners Mcaid- All Plans	$65	970%

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 $39.
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 Hermann Area District Hospital 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.