CMS Price Transparency Data

Blood test, magnesium

Facility: Montefiore Mount Vernon Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $6
  • Cash Discount Price: $59
  • vs. Medicare Baseline: 0.90x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Montefiore Mount Vernon Hospital is $6. 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 0.90x the Medicare baseline. Located in 12 North 7Th Avenue, Mount Vernon, NY.
Cash / Self-Pay
$59

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $6 (90%)
Cash: $59 (881% of Medicare)
Ins. Median: $6 (90% 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
Wellcare $4 - $5 60%
Amidacare $5 - $6 75%
Blue Cross Blue Shield $5 - $73 75%
Centerlight $5 - $6 75%
Emblem $5 - $73 75%
Fidelis $5 - $9 75%
Healthfirst $5 - $8 75%
Medicaid / KanCare $5 75%
Point Comfort $5 75%
UnitedHealthcare $5 - $13 75%
Villagecaremax $5 75%
Vnsny Choice $5 - $6 75%
Humana $6 90%
Longevity $6 90%
Vnsny Select Health $6 90%
Metroplus $7 104%
Oscar $7 104%
Mvp $10 149%
American Postal Workers $13 194%
Aetna $30 - $33 448%
Centivo $57 851%
Cigna $65 - $73 970%
Elderplan $73 1090%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12 North 7Th Avenue, Mount Vernon, NY 10550
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals