CMS Price Transparency Data
Blood test, magnesium
Facility: Diley Ridge Medical Center
Billing Code: 83735 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 83735
- Insurance Median: $60
- Cash Discount Price: $84
- vs. Medicare Baseline: 8.96x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Diley Ridge Medical Center is $60. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 8.96x the Medicare baseline. Located in 7911 Diley Road, Canal Winchester, OH.
Cash / Self-Pay
$84
Average discount available for prompt cash payment at this facility.
Insurance Median
$60
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: $84 (1254%)
Insurance Median: $60 (896%)
Cash: $84 (1254% of Medicare)
Ins. Median: $60 (896% 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 896% of the Medicare baseline (a markup of 796%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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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 | $6 - $129 | 90% |
| Medicare (plans) | $6 - $7 | 90% |
| Rural Carrier Health Benefit Plan | $6 | 90% |
| Blue Benefit Administrators Of Massachusetts | $7 | 104% |
| Blue Care Network | $7 | 104% |
| Blue Cross Blue Shield | $7 - $129 | 104% |
| Blue Distinction Transplant | $7 | 104% |
| Blue Shield - Ca | $7 | 104% |
| Blue Shield - Id (Regence) | $7 | 104% |
| Blue Shield - Ny Highmark Northeastern | $7 | 104% |
| Blue Shield - Ny Highmark Western | $7 | 104% |
| Blue Shield - Pa (Highmark) | $7 | 104% |
| Blue Shield - Wa (Regence) | $7 | 104% |
| Hospice Mount Carmel | $7 | 104% |
| Oscar | $7 | 104% |
| The Health Plan | $7 - $85 | 104% |
| UnitedHealthcare | $7 - $55 | 104% |
| Enterprise Group Planning | $13 | 194% |
| Custom Design Benefits | $14 | 209% |
| Quality Care Partners | $15 | 224% |
| American Postal Workers Secondary | $27 | 403% |
| Cigna | $27 | 403% |
| Health Partners | $27 | 403% |
| Healthgram | $27 | 403% |
| Mvp | $27 | 403% |
| Priority Health | $27 | 403% |
| Geha | $55 - $58 | 821% |
| Gravie Admin Services | $58 | 866% |
| Healthez | $58 | 866% |
| Meritain | $58 | 866% |
| Webtpa | $58 | 866% |
| Access Health | $60 | 896% |
| Acclaim | $60 | 896% |
| Administrative Concepts | $60 | 896% |
| Allegeant | $60 | 896% |
| Allied Benefit Systems | $60 | 896% |
| American Family | $60 | 896% |
| American Healthcare Alliance | $60 | 896% |
| American National | $60 | 896% |
| American Republic | $60 | 896% |
| Amerihealth | $60 | 896% |
| Aultcare | $60 | 896% |
| Automated Benefit Services | $60 | 896% |
| Auxiant | $60 | 896% |
| Benefit Administrative Systems,Llc | $60 | 896% |
| Boon Chapman | $60 | 896% |
| Cam Administrative Services | $60 | 896% |
| Christian Brother Services | $60 | 896% |
| Christian Brothers Holy Cross | $60 | 896% |
| Claimchoice Adminstrators | $60 | 896% |
| Comprehensive Benefits | $60 | 896% |
| Continental Life Insurance | $60 | 896% |
| Coventry | $60 | 896% |
| Custom Benefit Administrators | $60 | 896% |
| Cypress Benefit Administrators | $60 | 896% |
| Employee Benefit Concepts | $60 | 896% |
| Employee Benefit Management | $60 | 896% |
| Forest County Potawatomi | $60 | 896% |
| Freedom Life Insurance Company | $60 | 896% |
| Group Administrators | $60 | 896% |
| Group Marketing Services | $60 | 896% |
| Group Pension Administrators | $60 | 896% |
| Guardian | $60 | 896% |
| Health America | $60 | 896% |
| Health Choices | $60 | 896% |
| Healthcare Management Admin | $60 | 896% |
| Insight | $60 | 896% |
| Intercare | $60 | 896% |
| Jfp Benefit Management | $60 | 896% |
| Jp Farley Corporation | $60 | 896% |
| Key Benefit Administrator | $60 | 896% |
| Liberty Union Life Assurance Co | $60 | 896% |
| Lucent Health | $60 | 896% |
| Luminare Health | $60 | 896% |
| Magnacare | $60 | 896% |
| Medcost | $60 | 896% |
| Mutual Health Services | $60 | 896% |
| Mutual Of Omaha | $60 | 896% |
| Ncas | $60 | 896% |
| Nippon Life Ins | $60 | 896% |
| Nova | $60 | 896% |
| Painters Union Insurance Fund | $60 | 896% |
| Physicians Mutual | $60 | 896% |
| Plumbers Local 98 Insurance Fund | $60 | 896% |
| Prairie States | $60 | 896% |
| Preferred One | $60 | 896% |
| Primary Physician Care | $60 | 896% |
| Professional Benefit Administrators | $60 | 896% |
| Secureone Preferred United Plans | $60 | 896% |
| Siho Insurance Services | $60 | 896% |
| Sisco Benefits | $60 | 896% |
| The Loomis Company | $60 | 896% |
| Trustmark Small Business Benefits | $60 | 896% |
| U Of M Health Plan | $60 | 896% |
| Unicare | $60 | 896% |
| Unified Group Services | $60 | 896% |
| Us Health And Life | $60 | 896% |
| Valenz | $60 | 896% |
| Varipro | $60 | 896% |
| Wps | $60 | 896% |
| Medben | $64 - $97 | 955% |
| Humana | $66 - $129 | 985% |
| First Health | $68 | 1015% |
| Consociate | $79 | 1179% |
| Health Ohio Network | $79 | 1179% |
| Caresource | $94 | 1403% |
| Healthlink Inc | $97 | 1448% |
| Luminare Health (Detroit) | $97 | 1448% |
| Medical Benefits Mutual | $97 | 1448% |
| Ohio Health Choice | $97 | 1448% |
| Ohio Ppo Connect | $97 | 1448% |
| Osu Not Independent Choice | $97 | 1448% |
| Medical Mutual | $98 | 1463% |
| Ameriben | $103 | 1537% |
| Medi Share | $103 | 1537% |
| Multiplan | $103 | 1537% |
| Ohiohealthy | $103 | 1537% |
| Phcs | $103 | 1537% |
| Philadelphia American Life Insurance | $103 | 1537% |
| Twin Valley Psychiatric | $103 | 1537% |
| Health Smart | $110 | 1642% |
| Bccp | $129 | 1925% |
| Medicaid / KanCare | $129 | 1925% |
| Optima Health | $129 | 1925% |
| Crime Victim Assistance | $632 | 9433% |
| Ohio Safe Program | $632 | 9433% |