CMS Price Transparency Data

Blood test, magnesium

Facility: Pioneer Medical Center

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $45
  • Cash Discount Price: $46
  • vs. Medicare Baseline: 6.72x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Pioneer Medical Center is $45. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $46. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 6.72x the Medicare baseline. Located in 301 W 7Th Ave, Big Timber, MT.
Cash / Self-Pay
$46

Average discount available for prompt cash payment at this facility.

Insurance Median
$45

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: $46 (687%)
Insurance Median: $45 (672%)
Cash: $46 (687% of Medicare)
Ins. Median: $45 (672% 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 672% of the Medicare baseline (a markup of 572%). 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
Blue Cross Blue Shield $21 - $57 313%
Health Info Net Mcr Adv $21 - $31 313%
Healtnet Federal-All Plans $21 - $31 313%
Humana $21 - $63 313%
Triwest Va Pccc-All Plans $21 - $31 313%
UnitedHealthcare $21 - $66 313%
Rocky Mountain Health Network-All Plans $33 - $48 493%
Allegiance Provider-All Plans $40 - $59 597%
Mountain Health Co-Op Hpn $41 - $61 612%
6 Degrees Health-All Plans $45 - $66 672%
Americas Choice-All Plans $45 - $66 672%
City Of Billings-All Plans $45 - $66 672%
Community Health Ntwk-All Plans $45 - $66 672%
Ebms Select Care Network-All Plans $45 - $66 672%
Fedmed Network-All Plans $45 - $66 672%
First Choice Big Sky-All Plans $45 - $66 672%
First Health-All Plans $45 - $66 672%
Interwest Ppo $45 - $66 672%
Mountain Health Co-Op-All Other Plans $45 - $66 672%
Pacific Source-All Plans $45 - $66 672%
Pacific Steel & Recycling-All Plans $45 - $66 672%
Three Rivers-All Plans $45 - $66 672%
Health Info Net Peak/Equity $46 - $67 687%
Health Info Net Standard-All Other Plans $46 - $67 687%
Mountain Health Co-Op Ppo/Pos $46 - $68 687%
Interwest Health Traditional-All Other Plans $47 - $69 701%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 301 W 7Th Ave, Big Timber, MT 59011
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals