CMS Price Transparency Data

Blood test, magnesium

Facility: Cincinnati Children's Hospital Medical Center

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $73
  • Cash Discount Price: $40
  • vs. Medicare Baseline: 10.90x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Cincinnati Children's Hospital Medical Center is $73. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $40. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 10.90x the Medicare baseline. Located in 3333 Burnet Avenue, Cincinnati, OH.
Cash / Self-Pay
$40

Average discount available for prompt cash payment at this facility.

Insurance Median
$73

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: $40 (597%)
Insurance Median: $73 (1090%)
Cash: $40 (597% of Medicare)
Ins. Median: $73 (1090% 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 1090% of the Medicare baseline (a markup of 990%). 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 - $359 104%
Humana $7 - $18 104%
Passport_Ky $7 104%
United_Health_Care_Ky $7 104%
Wellcare_Ky $7 104%
Blue Cross Blue Shield $9 - $372 134%
Caresource_In $9 134%
Mhs_In $9 134%
Caresource_Oh $18 269%
United_Health_Care_Oh $18 269%
Amerihealth_Caritas_Oh $19 284%
Caresource_Oh_Insurance $19 - $181 284%
Cigna $19 - $359 284%
Molina_Oh $19 284%
Buckeye_Oh $20 299%
Medical_Mutual_Of_Ohio_Insurance $24 - $359 358%
Point_Comfort_Insurance $25 - $246 373%
Margaret_Mary_Health_Insurance $30 - $295 448%
Parkview_Signature_Care_Insurance $30 - $295 448%
Health_Ohio_Network_Insurance $35 - $359 522%
United_Health_Care_Insurance $35 - $339 522%
Custom_Design_Benefits_Insurance $37 - $359 552%
Health_Smart_Preferred_Insurance $37 - $359 552%
Medical_Benefit_Administrators_Insurance $37 - $359 552%
Ohio_Health_Choice_Insurance $37 - $359 552%
Private_Health_Care_Systems_Insurance $37 - $363 552%
Beechstreet_Insurance $38 - $370 567%
First_Health_Group_Insurance $38 - $370 567%
Health_Link_Insurance $38 - $370 567%
Evolutions_Health_Care_Systems $39 - $378 582%
Galaxy_Health_Insurance $39 - $378 582%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3333 Burnet Avenue, Cincinnati, OH 45229
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens