CMS Price Transparency Data

Blood test, magnesium

Facility: Ira Davenport Memorial Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83735
Insurance Median: $73
Cash Discount Price: $69
vs. Medicare Baseline: 10.90x Medicare

The contracted insurance negotiated median rate for a Blood test, magnesium at Ira Davenport Memorial Hospital is $73. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $69. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 10.90x the Medicare baseline. Located in 7571 State Route 54, Bath, NY.

Cash / Self-Pay

$69

Average discount available for prompt cash payment at this facility.

Insurance Median

$73

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: $69 (1030%)

Insurance Median: $73 (1090%)

Cash: $69 (1030% of Medicare)

Ins. Median: $73 (1090% 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 1090% of the Medicare baseline (a markup of 990%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Empire	$3	45%
Amerihealth Caritas Mcr Adv - All Plans	$7	104%
Blue Cross Blue Shield	$7 - $393	104%
Fidelis	$7	104%
Humana	$7 - $117	104%
Tricare	$7	104%
UnitedHealthcare	$14 - $284	209%
Fidelis Care - Exchange - All Plans	$45 - $71	672%
Geisinger - All Plans	$47 - $75	701%
Cigna	$51 - $81	761%
Mvp Health Plan - All Plans	$51 - $81	761%
Independent Health - All Plans	$53 - $84	791%
Upmc - All Plans	$56 - $89	836%
Pomco Inc - All Plans	$58 - $93	866%
Aetna	$61 - $241	910%
Emblem Health - All Plans	$71 - $114	1060%
Martins Point - All Plans	$81 - $130	1209%
Emblem/Ghi	$120 - $249	1791%
Healthnow - All Plans	$267 - $427	3985%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $69.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 83735.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ira Davenport Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 83735.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.