CMS Price Transparency Data

Blood test, magnesium

Facility: Holmes County Hospital and Clinics

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $26
  • Cash Discount Price: $14
  • vs. Medicare Baseline: 3.88x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Holmes County Hospital and Clinics is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 3.88x the Medicare baseline. Located in 239 Bowling Green Road, Lexington, MS.
Cash / Self-Pay
$14

Average discount available for prompt cash payment at this facility.

Insurance Median
$26

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: $14 (209%)
Insurance Median: $26 (388%)
Cash: $14 (209% of Medicare)
Ins. Median: $26 (388% 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 388% of the Medicare baseline (a markup of 288%). 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
Ms-Can-Magnolia-Lex $6 90%
Ms-Can-Molina-Lex $6 90%
Ms-Can-Truecare-Lex $6 90%
United-Lex $11 164%
United-Options-Lex $11 164%
Molina-Chip-Lex $13 194%
Magnolia-Chip-Lex $14 209%
Truecare-Chip-Lex $14 209%
Cigna $20 299%
Humana $21 313%
Tricare $21 313%
Mpcn-Lex $22 328%
Medadv_Uhc-Lex $23 343%
Firstchoice-Lex $24 358%
Advhealth-Lex $26 388%
Ambetter / Centene $26 388%
Medadv_Primewell-Lex $26 388%
Medadv_Uhcdsnp-Lex $26 388%
Medicare (plans) $26 388%
Primewell-Lex $26 388%
Va_Ccn-Lex $26 388%
Wellcare-Lex $26 388%
Blue Cross Blue Shield $27 403%
Devoted_Health-Lex $27 403%
Firsthealth-Lex $27 403%
Multiplan-Lex $27 403%
Ppoplus $27 403%
Aetna $29 433%
Phcs-Lex $31 463%
Molina_Exchange-Lex $34 507%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 239 Bowling Green Road, Lexington, MS 39095
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - State
  • Hospital Type: Critical Access Hospitals