CMS Price Transparency Data

Blood test, magnesium

Facility: St Mary's General Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $7
  • Cash Discount Price: $6
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at St Mary's General Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 1.04x the Medicare baseline. Located in 350 Boulevard, Passaic, NJ.
Cash / Self-Pay
$6

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $6 (90%)
Insurance Median: $7 (104%)
Cash: $6 (90% of Medicare)
Ins. Median: $7 (104% 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.

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
UnitedHealthcare $4 - $7 60%
Humana $5 75%
Horizon $7 - $32 104%
Amerihealth $7 104%
Aetna $7 - $14 104%
Wellcare $7 - $9 104%
Wellpoint Amerigroup $7 104%
Tricare $7 104%
Medicare (plans) $7 104%
Ally-Align (Fka Spartan Plan Nj, Inc.) $7 104%
Clover Health $7 104%
Fairprice Healthcare Holdings $8 119%
Employer Direct Healthcare $9 134%
Cigna $10 149%
Coventry $13 194%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 350 Boulevard, Passaic, NJ 07055
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals