CMS Price Transparency Data

Blood test, magnesium

Facility: Portsmouth Regional Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $79
  • Cash Discount Price: $179
  • vs. Medicare Baseline: 11.79x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Portsmouth Regional Hospital is $79. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $179. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 11.79x the Medicare baseline. Located in 333 Borthwick Ave, Portsmouth, NH.
Cash / Self-Pay
$179

Average discount available for prompt cash payment at this facility.

Insurance Median
$79

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: $179 (2672%)
Insurance Median: $79 (1179%)
Cash: $179 (2672% of Medicare)
Ins. Median: $79 (1179% 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 1179% of the Medicare baseline (a markup of 1079%). 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
Amerihealth Caritas $6 90%
Well Sense Health Plan $6 90%
Aetna $7 - $260 104%
Blue Cross Blue Shield $7 - $182 104%
Cigna $7 - $35 104%
Evernorth Behavioral Health $7 104%
Humana $7 104%
Martin'S Point Health $7 104%
Sierra Military Health $7 104%
United $7 - $271 104%
United Behavioral Health $7 104%
United Va Ccn $7 104%
Ambetter / Centene $12 179%
Harvard Pilgrim $26 - $176 388%
Maine Community Health $30 - $218 448%
Tufts Health Plan $36 - $235 537%
Mvp Health Plan $68 - $288 1015%
Corvel $70 - $296 1045%
Evernorth $78 - $329 1164%
Mutual Of Omaha $78 - $329 1164%
Multiplan $79 - $333 1179%
First Health $88 - $374 1313%
Healthcare Value Mgmt $88 - $374 1313%
Oxford Health Plans $92 - $390 1373%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 333 Borthwick Ave, Portsmouth, NH 03801
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals