CMS Price Transparency Data

Blood test, magnesium

Facility: St Luke's Warren Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $24
  • Cash Discount Price: $201
  • vs. Medicare Baseline: 3.58x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at St Luke's Warren Hospital is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $201. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 3.58x the Medicare baseline. Located in 185 Roseberry St, Phillipsburg, NJ.
Cash / Self-Pay
$201

Average discount available for prompt cash payment at this facility.

Insurance Median
$24

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: $201 (3000%)
Insurance Median: $24 (358%)
Cash: $201 (3000% of Medicare)
Ins. Median: $24 (358% 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 358% of the Medicare baseline (a markup of 258%). 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
Aetna $7 - $24 104%
Blue Cross Blue Shield $7 - $51 104%
Geisinger $7 - $63 104%
Humana $7 104%
UPMC Health Plan $7 - $61 104%
UnitedHealthcare $7 - $60 104%
Amerihealth Caritas $9 134%
Oscar $58 866%
Cigna $61 910%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 185 Roseberry St, Phillipsburg, NJ 08865
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals