CMS Price Transparency Data

Blood test, magnesium

Facility: West Penn Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $7
  • Cash Discount Price: $44
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at West Penn Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $44. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 1.04x the Medicare baseline. Located in 4800 Friendship Avenue, Pittsburgh, PA.
Cash / Self-Pay
$44

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $44 (657%)
Insurance Median: $7 (104%)
Cash: $44 (657% of Medicare)
Ins. Median: $7 (104% 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.

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
Highmark $3 - $12 45%
Cigna $5 - $7 75%
Aetna $7 - $22 104%
American Health Plans $7 104%
Amerihealth $7 104%
Highmark Wholecare $7 - $10 104%
Humana $7 104%
Jefferson Health Plans $7 104%
Life Pittsburgh $7 104%
Martin'S Point $7 - $19 104%
Medical Mutual $7 104%
Medicare (plans) $7 104%
Molina $7 104%
UnitedHealthcare $7 - $12 104%
University Of Pittsburgh Medical Center $8 119%
Pennsylvania Health And Wellness $11 164%
Geisinger $12 179%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4800 Friendship Avenue, Pittsburgh, PA 15224
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals