CMS Price Transparency Data

Blood test, magnesium

Facility: Ohiohealth Morrow County Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $20
  • Cash Discount Price: $34
  • vs. Medicare Baseline: 2.99x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Ohiohealth Morrow County Hospital is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $34. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 2.99x the Medicare baseline. Located in 651 West Marion Road, Mount Gilead, OH.
Cash / Self-Pay
$34

Average discount available for prompt cash payment at this facility.

Insurance Median
$20

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: $34 (507%)
Insurance Median: $20 (299%)
Cash: $34 (507% of Medicare)
Ins. Median: $20 (299% 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 299% of the Medicare baseline (a markup of 199%). 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
Blue Cross Blue Shield $3 - $19 45%
Medicaid / KanCare $14 - $15 209%
UnitedHealthcare $14 - $43 209%
Amerihealth Caritas - All Plans $15 224%
Humana $15 - $48 224%
Medicare (plans) $19 - $20 284%
Aetna $20 - $45 299%
Caresource Marketplace - All Other Plans $24 358%
Molina Exchange - All Other Plans $24 358%
Medical Mutual Of Ohio Marketplace $39 582%
Ohiohealthy Network - All Other Plans $39 582%
Ohiohealthy Preferred $39 582%
Medical Mutual Of Ohio Comm - All Other Plans $42 627%
Medical Mutual Of Ohio - Admin Serv $44 657%
Phcs - All Plans $48 716%
Cigna $49 731%
Multiplan - All Plans $49 731%
Beech Street - All Plans $50 746%
Healthstar Comm - All Plans $50 746%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 651 West Marion Road, Mount Gilead, OH 43338
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals