CMS Price Transparency Data

Blood test, magnesium

Facility: Harlem Hospital Center

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $39
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 5.82x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Harlem Hospital Center is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 5.82x the Medicare baseline. Located in 506 Lenox Avenue, New York, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$39

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%)
Insurance Median: $39 (582%)
Ins. Median: $39 (582% 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 582% of the Medicare baseline (a markup of 482%). 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.

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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 $5 - $20 75%
Healthfirst $5 - $88 75%
Elderplan $7 104%
Fidelis $7 - $88 104%
Magnacare $8 119%
Oscar $10 149%
Oxford $10 149%
United $10 - $49 149%
Centerlight $14 209%
Cigna $16 239%
Wellcare $17 254%
Carelon $18 - $39 269%
Emblem $20 - $53 299%
Blue Cross Blue Shield $22 - $88 328%
Multiplan $22 328%
Local 1199 $24 358%
Villagecare Max $24 358%
Vnsny $24 - $40 358%
Metroplus $38 - $88 567%
Amidacare $39 582%
Senior Whole Health $39 582%
United Behavioral Health $39 - $43 582%
Affinity $40 - $88 597%
Carelon (Amida Care) $40 597%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 506 Lenox Avenue, New York, NY 10037
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals