CMS Price Transparency Data

Blood test, magnesium

Facility: Mercy Hospital Aurora

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $89
  • Cash Discount Price: $68
  • vs. Medicare Baseline: 13.28x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Mercy Hospital Aurora is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 13.28x the Medicare baseline. Located in 500 Porter Avenue, Aurora, MO.
Cash / Self-Pay
$68

Average discount available for prompt cash payment at this facility.

Insurance Median
$89

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: $68 (1015%)
Insurance Median: $89 (1328%)
Cash: $68 (1015% of Medicare)
Ins. Median: $89 (1328% 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 1328% of the Medicare baseline (a markup of 1228%). 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
Medicaid / KanCare $7 - $53 104%
Medicare (plans) $7 - $31 104%
Blue Cross Blue Shield $9 - $105 134%
UnitedHealthcare $9 - $100 134%
Aetna $30 - $93 448%
Cherokee Nation Health Serv Contracted [320066] $30 448%
Cigna $30 - $89 448%
Cross Timbers Hospice [20098] $30 448%
Elara Caring Aspire Hospice [20433] $30 448%
Globalhealth Contracted [320145] $30 448%
Halo Hcr Inc Hospice Contracted [320432] $30 448%
Halo Hcr Inc Hospice [20432] $30 448%
Humana $30 - $89 448%
Indian Health Service Contracted [320198] $30 448%
Kindful Hospice Contracted [320434] $30 448%
Kindful Hospice [20434] $30 448%
Medical Associates Health Contracted [320444] $30 448%
Mercy Hospice Okc [20252] $30 448%
Mercy Mgd Behavioral Health Contracted [320259] $30 448%
Pace Of The Ozarks Contracted [320518] $30 448%
Provider Partners Health Plans Contracted [320450] $30 448%
Qual Choice Contracted [320325] $30 448%
Dept Of Veteran Affairs Contracted [320106] $31 463%
Tricare $31 463%
Healthscope Contracted [320182] $39 582%
Centivo Contracted [320505] $42 627%
Administrative Payor Contracted [320005] $47 701%
Ambetter / Centene $53 791%
Home State Health Plan Contracted [320187] $53 791%
Novasys Contracted [320285] $53 791%
Healthlink Contracted [320179] $68 - $94 1015%
Preferred Health Plan Contracted [320522] $68 1015%
Health Systems Inc Contracted [320174] $84 1254%
Insurance System Inc Contracted [320465] $84 1254%
Point C Contracted [320238] $84 - $89 1254%
Point C [20238] $84 1254%
Workers Comp [20426] $84 - $89 1254%
90 Degree Benefits Contracted [320436] $89 1328%
Aither Health Contracted [320449] $89 1328%
American Healthcare Alliance Contracted [320020] $89 1328%
Auxiant Contracted [320462] $89 1328%
Benefit Management Contracted [320052] $89 1328%
Ebms Contracted [320493] $89 1328%
Edison Health Solutions Contracted [320502] $89 1328%
Evolutions Health Care Contracted [320124] $89 1328%
First Health Contracted [320128] $89 1328%
Imagine 360 Contracted [320494] $89 1328%
Medica Contracted [320239] $89 1328%
Mercy Benefit Admin Contracted [320251] $89 1328%
Reflect Health Contracted [320492] $89 1328%
Show-Me Health Administrators Contracted [320483] $89 1328%
United Medical Resources Contracted [320454] $89 - $92 1328%
Yuzu Health Contracted [320521] $89 1328%
Usa Managed Care Org Contracted [320429] $92 1373%
Multiplan Contracted [320270] $100 1493%
Private Health Care Systems Contracted [320320] $100 1493%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 Porter Avenue, Aurora, MO 65605
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals