CMS Price Transparency Data

Blood test, magnesium

Facility: Fairview Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $15
  • Cash Discount Price: $29
  • vs. Medicare Baseline: 2.24x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Fairview Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $29. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 2.24x the Medicare baseline. Located in 18101 Lorain Avenue, Cleveland, OH.
Cash / Self-Pay
$29

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $29 (433%)
Insurance Median: $15 (224%)
Cash: $29 (433% of Medicare)
Ins. Median: $15 (224% 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 224% of the Medicare baseline (a markup of 124%). 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.

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
Aetna $7 - $44 104%
Cigna $7 - $35 104%
Communicare $7 104%
Devoted Health $7 104%
Humana $7 - $37 104%
Mmo $7 - $26 104%
Perennial Health $7 104%
Summacare $7 - $17 104%
The Health Plan $7 - $26 104%
United $7 - $11 104%
UnitedHealthcare $7 - $27 104%
Upmc $7 - $26 104%
Valor $7 104%
Paramount $10 149%
Amerihealth $11 164%
Blue Cross Blue Shield $11 - $28 164%
Buckeye $11 164%
Caresource $11 164%
Molina $11 164%
United Bh $11 164%
Oscar $13 - $17 194%
Zing Health $13 194%
Cc Ehp $16 - $18 239%
Aultcare $19 284%
Amish Community Aid Plan $20 - $22 299%
Ohcp $21 313%
Omas $22 328%
Healthsmart $24 358%
Ohio Healthy $24 358%
Php $26 388%
Phphi $26 388%
Gms $31 463%
Medical Benefit Corp $31 463%
Quality Care Partners $31 463%
Consociate Health $33 493%
Frontpath $40 597%
Managed Care Services $40 597%
Multiplan $40 597%
Tertiary Care Network $40 597%
Three Rivers $40 597%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 18101 Lorain Avenue, Cleveland, OH 44111
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals