CMS Price Transparency Data

Blood test, magnesium

Facility: Duncan Regional Hospital, Inc

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $91
  • Cash Discount Price: $14
  • vs. Medicare Baseline: 13.58x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Duncan Regional Hospital, Inc is $91. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 13.58x the Medicare baseline. Located in 1407 Whisenant Drive, Duncan, OK.
Cash / Self-Pay
$14

Average discount available for prompt cash payment at this facility.

Insurance Median
$91

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: $14 (209%)
Insurance Median: $91 (1358%)
Cash: $14 (209% of Medicare)
Ins. Median: $91 (1358% 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 1358% of the Medicare baseline (a markup of 1258%). 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
Medica $4 60%
Humana $7 104%
Friday Health Plan $18 269%
Blue Cross Blue Shield $20 299%
Healthcare Highways $46 - $93 687%
UnitedHealthcare $71 - $97 1060%
Oklahoma Health Network (Ohn) $83 - $114 1239%
Aetna $88 - $121 1313%
Coventry $88 - $121 1313%
Cigna $94 - $128 1403%
First Health $94 - $128 1403%
Osma Health $94 - $128 1403%
Preferred Community Choice $96 - $131 1433%
Healthsmart $98 - $134 1463%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1407 Whisenant Drive, Duncan, OK 73533
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals