CMS Price Transparency Data

Blood test, magnesium

Facility: Lancaster General Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $15
  • Cash Discount Price: $48
  • vs. Medicare Baseline: 2.24x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Lancaster General Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $48. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 2.24x the Medicare baseline. Located in 555 North Duke Street, Lancaster, PA.
Cash / Self-Pay
$48

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $48 (716%)
Insurance Median: $15 (224%)
Cash: $48 (716% of Medicare)
Ins. Median: $15 (224% 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 224% of the Medicare baseline (a markup of 124%). 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
Tricare $6 90%
Aetna $7 - $29 104%
Albright Life $7 104%
Amerihealth Caritas $7 104%
Blue Cross Blue Shield $7 - $41 104%
Cigna $7 - $40 104%
Coatesville Va $7 104%
Devoted Health $7 104%
Health Partners Mcr Advantage $7 104%
Highmark $7 - $48 104%
Hospice Generic $7 104%
Lancaster County Mh $7 104%
Lebanon Veterans Hospital $7 104%
Medicaid / KanCare $7 - $13 104%
Medicare (plans) $7 104%
Pa Health And Wellness Mcr $7 104%
UnitedHealthcare $7 - $41 104%
Gateway $8 119%
Hospice And Community Care $9 134%
Elap Employees $10 149%
Upmc For You $12 179%
Old Order Group $13 - $15 194%
Oscar Health Plan $13 194%
Lancashire Hall $14 - $48 209%
Lg Coresource/Lg Eliance $14 209%
Nursing Home Op Services $14 209%
Highmark Commercial Preferred $15 - $48 224%
Affilia Home Health $19 - $48 284%
Claim Watcher Plus $20 299%
Masonic Homes $20 - $48 299%
Claim Watcher $22 328%
Eliance Health Solutions $22 - $31 328%
Highmark Commercial Non-Preferred $23 - $48 343%
Elap Other Groups $24 358%
Preferred Healthcare $29 - $41 433%
Ehp $39 582%
Upmc Commercial $39 - $41 582%
Devon $41 612%
Geisinger Commercial $41 612%
Intergroup Services $41 612%
Medi-Share Christian Care $46 687%
Commercial Generic $48 716%
Magellan $48 716%
United Behavioral Health $48 716%
Value Options $48 716%
Workers Compensation $48 716%
Gift Of Life Donor Program $13,500 201493%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 555 North Duke Street, Lancaster, PA 17602
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals