CMS Price Transparency Data

Blood test, magnesium

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83735
Insurance Median: $31
Cash Discount Price: $19
vs. Medicare Baseline: 4.63x Medicare

The contracted insurance negotiated median rate for a Blood test, magnesium at Mary Hitchcock Memorial Hospital is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 4.63x the Medicare baseline. Located in 1 Medical Center Drive, Lebanon, NH.

Cash / Self-Pay

$19

Average discount available for prompt cash payment at this facility.

Insurance Median

$31

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: $19 (284%)

Insurance Median: $31 (463%)

Cash: $19 (284% of Medicare)

Ins. Median: $31 (463% 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 463% of the Medicare baseline (a markup of 363%). 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
Amerihealth Caritas Nh	$3 - $22	45%
Beacon Health Strategies/Carelon	$3 - $24	45%
Granite State Health Plan	$3 - $25	45%
UnitedHealthcare	$3 - $152	45%
Wellsense Health Plan	$3 - $24	45%
Blue Cross Blue Shield	$4 - $173	60%
Aetna	$7 - $139	104%
Ambetter / Centene	$7 - $22	104%
Cigna	$7 - $136	104%
Harvard Pilgrim Health Care Of Ne	$7 - $127	104%
Martin'S Point Generations Advantage	$7	104%
Martin'S Point Health Care	$7 - $68	104%
Mvp	$7 - $133	104%
Wellcare Health Plans	$7	104%
Mass General Brigham Health Plan	$13 - $123	194%
Tufts Health Plan	$13 - $116	194%
Maine Community Health Options	$15 - $146	224%
Coventry	$20 - $172	299%
First Health/Hcvm	$20 - $172	299%
Corvel	$21 - $182	313%
Phcs	$21 - $178	313%
Ccmsi	$22 - $188	328%

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 $19.
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 Mary Hitchcock Memorial Hospital 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.