CMS Price Transparency Data

Blood test, magnesium

Facility: Harlan County Health System

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $78
  • Cash Discount Price: $69
  • vs. Medicare Baseline: 11.64x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Harlan County Health System is $78. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $69. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 11.64x the Medicare baseline. Located in 717 Brown St, Alma, NE.
Cash / Self-Pay
$69

Average discount available for prompt cash payment at this facility.

Insurance Median
$78

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: $69 (1030%)
Insurance Median: $78 (1164%)
Cash: $69 (1030% of Medicare)
Ins. Median: $78 (1164% 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 1164% of the Medicare baseline (a markup of 1064%). 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
Medica Mcr Adv $46 687%
Medica Prime Solution $46 687%
Humana $58 866%
Tricare $58 866%
Aetna $60 896%
Great Plains Mcr Adv-All Plans $60 896%
Medica Chi Aco - All Other Plans $78 1164%
Medica Chi Health $78 1164%
Medica Choice $78 1164%
Blue Cross Blue Shield $82 - $83 1224%
Ohara Llc Wc- All Plans $82 1224%
Medica Ifb Aco $83 1239%
Medica Ifb Open Access $83 1239%
UnitedHealthcare $83 1239%
Phcs/Multiplan-All Plans $84 1254%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 717 Brown St, Alma, NE 68920
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals