CMS Price Transparency Data

Blood test, magnesium

Facility: Elizabethtown Community Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83735
Insurance Median: $70
Cash Discount Price: $172
vs. Medicare Baseline: 10.45x Medicare

The contracted insurance negotiated median rate for a Blood test, magnesium at Elizabethtown Community Hospital is $70. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $172. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 10.45x the Medicare baseline. Located in 75 Park Street, Elizabethtown, NY.

Cash / Self-Pay

$172

Average discount available for prompt cash payment at this facility.

Insurance Median

$70

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: $172 (2567%)

Insurance Median: $70 (1045%)

Cash: $172 (2567% of Medicare)

Ins. Median: $70 (1045% 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 1045% of the Medicare baseline (a markup of 945%). 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
Capital District Physicians' Health Plan	$5 - $152	75%
Humana	$6	90%
Aetna	$17 - $120	254%
Blue Cross Blue Shield	$17 - $139	254%
Fidelis Care	$17 - $70	254%
Martins Point	$17 - $70	254%
Mvp	$17 - $144	254%
UnitedHealthcare	$17 - $170	254%
Veterans Affairs Community Care Network	$17 - $70	254%
Choicecare	$18 - $148	269%
Wellpath	$26 - $105	388%
Emblem Health	$37 - $148	552%
Harvard Pilgrim	$37 - $148	552%
Highmark Blueshield	$37 - $151	552%
Magnacare	$37 - $148	552%
Coventry	$39 - $157	582%
Multiplan	$41 - $166	612%

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 $172.
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 Elizabethtown Community 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.