CMS Price Transparency Data

Blood test, magnesium

Facility: Arthur G James Cancer Hospital and Research Institute

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83735
Insurance Median: $52
Cash Discount Price: Unavailable
vs. Medicare Baseline: 7.76x Medicare

The contracted insurance negotiated median rate for a Blood test, magnesium at Arthur G James Cancer Hospital and Research Institute is $52. 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 7.76x the Medicare baseline. Located in 460 W 10Th Ave, Columbus, OH.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$52

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: $52 (776%)

Ins. Median: $52 (776% 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 776% of the Medicare baseline (a markup of 676%). 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
Healthspan	$21 - $5,413	313%
Humana	$21 - $5,521	313%
Medicare (plans)	$21 - $5,467	313%
Medigold	$21	313%
Upper Ohio Valley	$21 - $5,413	313%
Medicaid / KanCare	$24 - $33	358%
Aetna	$25 - $5,388	373%
United	$26 - $86	388%
Caresource	$31 - $47	463%
Mmo	$31 - $80	463%
Molina	$31 - $5,388	463%
Odrc	$33 - $39	493%
Amerihealth	$35 - $51	522%
Blue Cross Blue Shield	$35 - $90	522%
Buckeye Community	$35 - $47	522%
Osu Health Plan	$43 - $63	642%
Cigna	$45 - $69	672%
Lifetrac	$62 - $65	925%
Ohio Ppo	$62	925%
Ohiohealth	$68 - $69	1015%
Frontpath	$76	1134%
Healthsmart	$86	1284%
Multiplan	$88	1313%
Ohio Dept Of Health	$4,289	64015%

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 $X.
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 Arthur G James Cancer Hospital and Research Institute 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.