CMS Price Transparency Data

Blood test, magnesium

Facility: Adventist Health Tillamook

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83735
Insurance Median: $59
Cash Discount Price: $38
vs. Medicare Baseline: 8.81x Medicare

The contracted insurance negotiated median rate for a Blood test, magnesium at Adventist Health Tillamook is $59. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 8.81x the Medicare baseline. Located in 1000 Third Street, Tillamook, OR.

Cash / Self-Pay

$38

Average discount available for prompt cash payment at this facility.

Insurance Median

$59

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: $38 (567%)

Insurance Median: $59 (881%)

Cash: $38 (567% of Medicare)

Ins. Median: $59 (881% 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 881% of the Medicare baseline (a markup of 781%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$19 - $102	284%
Hvhs Mcare - All Plans	$19 - $56	284%
Medicare (plans)	$19 - $55	284%
Moda Health Plan - All Plans	$19 - $55	284%
Sterling Life - All Plans	$20 - $57	299%
Aetna	$21 - $109	313%
Devoted Health	$21 - $59	313%
Lifewise - All Plans	$37 - $106	552%
Ah Employee Health Plan - All Plans	$39 - $110	582%
Cigna	$39 - $111	582%
First Choice Health- All Plans	$39 - $110	582%
Health Net - All Plans	$39 - $110	582%
Pacificsource - All Plans	$39 - $112	582%
Phcs Preferred - All Plans	$39 - $111	582%
UnitedHealthcare	$39 - $111	582%
Ods Health Plan - All Other Plans	$40 - $113	597%
Providence Preferred - All Plans	$40 - $115	597%
Workers Comp	$41 - $117	612%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $38.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 83735.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Adventist Health Tillamook is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 83735.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.