CMS Price Transparency Data

Blood test, magnesium

Facility: Community Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $40
  • Cash Discount Price: $59
  • vs. Medicare Baseline: 5.97x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Community Hospital is $40. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $59. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 5.97x the Medicare baseline. Located in P O Box 1328, 1301 East H St, McCook, NE.
Cash / Self-Pay
$59

Average discount available for prompt cash payment at this facility.

Insurance Median
$40

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: $59 (881%)
Insurance Median: $40 (597%)
Cash: $59 (881% of Medicare)
Ins. Median: $40 (597% 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 597% of the Medicare baseline (a markup of 497%). 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
Healthy Blue $15 - $54 224%
Law Enforcement $15 - $54 224%
Nebraska Total Care $15 - $54 224%
UnitedHealthcare $15 - $99 224%
Aetna $27 - $99 403%
Blue Cross Blue Shield $27 - $98 403%
Midlands Choice $27 - $99 403%
Ne Workers Comp $27 - $99 403%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: P O Box 1328, 1301 East H St, McCook, NE 69001
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals