CMS Price Transparency Data

Blood test, magnesium

Facility: Lexington Memorial Hospital Inc

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83735
Insurance Median: $44
Cash Discount Price: $50
vs. Medicare Baseline: 6.57x Medicare

The contracted insurance negotiated median rate for a Blood test, magnesium at Lexington Memorial Hospital Inc is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 6.57x the Medicare baseline. Located in 250 Hospital Drive Po Box 1817, Lexington, NC.

Cash / Self-Pay

$50

Average discount available for prompt cash payment at this facility.

Insurance Median

$44

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: $50 (746%)

Insurance Median: $44 (657%)

Cash: $50 (746% of Medicare)

Ins. Median: $44 (657% 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 657% of the Medicare baseline (a markup of 557%). 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
Alliance	$12	179%
Amerihealth	$12 - $15	179%
Carolina Complete	$12	179%
Healthy Blue	$12	179%
Partners	$12	179%
UnitedHealthcare	$12 - $44	179%
Vaya	$12	179%
Wellcare	$12	179%
Trillium	$13	194%
Blue Cross Blue Shield	$14 - $23	209%
Ambetter / Centene	$15	224%
Medcost	$22 - $66	328%
Aetna	$28 - $91	418%
Oscar	$32 - $44	478%
Cigna	$43 - $44	642%
Directnet	$59	881%
Healthgram Lexington Home Brands	$71	1060%
Healthgram	$79	1179%
Private Healthcare Systems	$81	1209%
Beechstreet	$87	1299%
Humana	$87	1299%
Multiplan	$89	1328%
National Provider Network	$89	1328%

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 $50.
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 Lexington Memorial Hospital Inc 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.