CMS Price Transparency Data

Blood test, magnesium

Facility: St Charles Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $7
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at St Charles Hospital is $7. 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 1.04x the Medicare baseline. Located in 200 Belle Terre Road, Port Jefferson, NY.
Cash / Self-Pay
Unavailable

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%)
Insurance Median: $7 (104%)
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
Affinity Health Plan $5 - $11 75%
Beacon Health Options $5 - $9 75%
Beacon Health Strategies $5 - $9 75%
Centerlight Healthcare $5 - $7 75%
Elderplan Inc. $5 - $7 75%
Emblem Health $5 - $15 75%
Fidelis Care New York $5 - $11 75%
Health First $5 - $15 75%
Health Plus $5 - $11 75%
Independent Health $5 - $7 75%
Medicaid / KanCare $5 75%
Mvp Health Plans $5 - $17 75%
Senior Whole Health $5 - $7 75%
UnitedHealthcare $5 - $25 75%
Aetna $7 - $9 104%
Agewell New York $7 104%
Blue Cross Blue Shield $7 - $25 104%
Centers Plan For Healthy Living $7 104%
Healthspring $7 104%
Humana $7 104%
Liberty Health $7 104%
Longevity Health Plan $7 104%
Medicare (plans) $7 104%
Orthonet - Uniformed Services Family Health Plan $7 104%
Partners Health Plan $7 104%
Pmc $7 104%
Surest $7 104%
Tricare $7 104%
Universal Healthcare $7 104%
Us Family Health Plan $7 104%
Veterans Affairs $7 104%
Wellcare Health Plan Inc $7 104%
Mail Handlers Benefit Plan $9 134%
Meritain Health $9 134%
Nippon Life Insurance Company Of America $9 134%
Salvation Army $9 134%
Zadroga $9 134%
Centivo $10 - $17 149%
American Plan Administrators $15 224%
Amerihealth Administrators $15 224%
Benefit Services $15 224%
Ghi Cbp Ny City Employee Alternate $15 224%
International Benefit Administrator $15 224%
Ultra Benefits Inc. $15 224%
Apwu $17 254%
Brighton $17 - $77 254%
Cigna $17 - $72 254%
Daniel H Cook $17 254%
Nalc $17 254%
Samba $17 254%
Self Pay $25 373%
Local 1199 $40 597%
Oscar Health $45 672%
Allied Wellfare Fund $72 1075%
American Group Administrators $72 1075%
Bakery & Confectionery Union $72 1075%
Comprehensive Benefits Consultant $72 1075%
Guardian Life Insurance Company Of America $72 1075%
Maloney And Assoc $72 1075%
Multiplan $72 1075%
Performax $72 1075%
Phcs $72 1075%
Pomco $72 1075%
Tpa Inc $72 1075%
Unicare $72 1075%
United Employees Health Plan $72 1075%
Coventry $81 - $94 1209%
Magellan $88 1313%
Galaxy $99 1478%
Three Rivers Provider Network $99 1478%
Aither Health $110 1642%
Alpha Care $110 1642%
Dentaquest $110 1642%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 Belle Terre Road, Port Jefferson, NY 11777
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals