CMS Price Transparency Data
Blood test, magnesium
Facility: Mercy Hospital Carthage
Billing Code: 83735 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 83735
- Insurance Median: $80
- Cash Discount Price: $82
- vs. Medicare Baseline: 11.94x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Mercy Hospital Carthage is $80. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $82. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 11.94x the Medicare baseline. Located in 3125 Dr Russell Smith Way, Carthage, MO.
Cash / Self-Pay
$82
Average discount available for prompt cash payment at this facility.
Insurance Median
$80
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: $82 (1224%)
Insurance Median: $80 (1194%)
Cash: $82 (1224% of Medicare)
Ins. Median: $80 (1194% 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 1194% of the Medicare baseline (a markup of 1094%). 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 |
|---|---|---|
| Aetna | $6 - $120 | 90% |
| Humana | $6 - $40 | 90% |
| Medicaid / KanCare | $6 - $74 | 90% |
| Blue Cross Blue Shield | $7 - $37 | 104% |
| Medicare (plans) | $7 - $40 | 104% |
| United Medical Resources Contracted [320454] | $9 - $122 | 134% |
| UnitedHealthcare | $9 - $117 | 134% |
| Cherokee Nation Health Serv Contracted [320066] | $27 - $37 | 403% |
| Cigna | $27 - $122 | 403% |
| Cross Timbers Hospice [20098] | $27 - $37 | 403% |
| Dept Of Veteran Affairs Contracted [320106] | $27 - $37 | 403% |
| Elara Caring Aspire Hospice [20433] | $27 - $37 | 403% |
| Globalhealth Contracted [320145] | $27 - $37 | 403% |
| Halo Hcr Inc Hospice Contracted [320432] | $27 - $37 | 403% |
| Halo Hcr Inc Hospice [20432] | $27 - $37 | 403% |
| Indian Health Service Contracted [320198] | $27 - $37 | 403% |
| Kindful Hospice Contracted [320434] | $27 - $37 | 403% |
| Kindful Hospice [20434] | $27 - $37 | 403% |
| Medical Associates Health Contracted [320444] | $27 - $37 | 403% |
| Mercy Hospice Okc [20252] | $27 - $37 | 403% |
| Mercy Mgd Behavioral Health Contracted [320259] | $27 - $37 | 403% |
| Pace Of The Ozarks Contracted [320518] | $27 - $37 | 403% |
| Provider Partners Health Plans Contracted [320450] | $27 - $37 | 403% |
| Qual Choice Contracted [320325] | $27 - $37 | 403% |
| Tricare | $28 - $37 | 418% |
| Point C Contracted [320238] | $35 - $122 | 522% |
| Health Systems Inc Contracted [320174] | $43 - $58 | 642% |
| Insurance System Inc Contracted [320465] | $43 - $58 | 642% |
| Administrative Payor Contracted [320005] | $45 - $61 | 672% |
| Centivo Contracted [320505] | $46 - $62 | 687% |
| Healthscope Contracted [320182] | $52 - $70 | 776% |
| Ambetter / Centene | $55 - $74 | 821% |
| Home State Health Plan Contracted [320187] | $55 - $74 | 821% |
| Novasys Contracted [320285] | $55 - $74 | 821% |
| Benefit Management Contracted [320052] | $60 - $117 | 896% |
| Auxiant Contracted [320462] | $65 - $115 | 970% |
| Healthlink Contracted [320179] | $65 - $126 | 970% |
| Preferred Health Plan Contracted [320522] | $65 - $88 | 970% |
| Workers Comp [20426] | $80 - $135 | 1194% |
| 90 Degree Benefits Contracted [320436] | $85 - $115 | 1269% |
| Aither Health Contracted [320449] | $85 - $115 | 1269% |
| Ebms Contracted [320493] | $85 - $115 | 1269% |
| Edison Health Solutions Contracted [320502] | $85 - $115 | 1269% |
| Imagine 360 Contracted [320494] | $85 - $115 | 1269% |
| Mercy Benefit Admin Contracted [320251] | $85 - $122 | 1269% |
| Reflect Health Contracted [320492] | $85 - $115 | 1269% |
| Show-Me Health Administrators Contracted [320483] | $85 - $115 | 1269% |
| Yuzu Health Contracted [320521] | $85 - $115 | 1269% |
| Evolutions Health Care Contracted [320124] | $87 - $117 | 1299% |
| First Health Contracted [320128] | $87 - $117 | 1299% |
| Medica Contracted [320239] | $87 - $117 | 1299% |
| Multiplan Contracted [320270] | $87 - $117 | 1299% |
| Private Health Care Systems Contracted [320320] | $87 - $117 | 1299% |
| American Healthcare Alliance Contracted [320020] | $90 - $122 | 1343% |
| Ppo Plus Contracted [320310] | $90 - $122 | 1343% |
| Usa Managed Care Org Contracted [320429] | $90 - $122 | 1343% |