CMS Price Transparency Data

Blood test, magnesium

Facility: University Hospitals Avon Rehabilitation Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $26
  • Cash Discount Price: $51
  • vs. Medicare Baseline: 3.88x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at University Hospitals Avon Rehabilitation Hospital is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $51. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 3.88x the Medicare baseline. Located in 37900 Chester Rd, Avon, OH.
Cash / Self-Pay
$51

Average discount available for prompt cash payment at this facility.

Insurance Median
$26

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: $51 (761%)
Insurance Median: $26 (388%)
Cash: $51 (761% of Medicare)
Ins. Median: $26 (388% 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 388% of the Medicare baseline (a markup of 288%). 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
Uh Employees (Administered By Meritian) $8 - $32 119%
Blue Cross Blue Shield $12 - $82 179%
Healthsmart (Formerly Emerald) $14 - $53 209%
Ohio Health Choice - Preferred Choice Plus $14 - $53 209%
Clarity Health (Enterprise Group Planning Will Be Listed On Id Card As Well) $16 - $60 239%
Occunet Fka Health Ohio Network $16 - $60 239%
Paramount $16 - $82 239%
Ohio Preferred Network $17 - $65 254%
First Health $18 - $69 269%
Beechstreet $19 - $74 284%
Fortified $19 - $74 284%
Multiplan $19 - $74 284%
Ohio Health Choice $19 - $74 284%
Phcs $19 - $74 284%
Aetna $21 - $82 313%
Ambetter / Centene $21 - $82 313%
Amerihealth Cartias $21 - $82 313%
Antidote Healthe Care Of Ohio $21 - $82 313%
Aultcare $21 - $82 313%
Buckeye $21 - $82 313%
Caresource $21 - $82 313%
Caresource (Marketplace) $21 - $82 313%
Cigna $21 - $82 313%
Devoted $21 - $82 313%
Health Plan $21 - $82 313%
Humana $21 - $82 313%
Jp Farley (Select Employers) $21 - $82 313%
Medical Mutual $21 - $82 313%
Medical Mutual (Supermed, Trad, Medflex) $21 - $82 313%
Medical Mutual (Marketplace Plan) $21 - $82 313%
Molina $21 - $82 313%
Summacare $21 - $82 313%
United $21 - $82 313%
UnitedHealthcare $21 - $82 313%
Wellcare $21 - $82 313%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 37900 Chester Rd, Avon, OH 44011
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL