CMS Price Transparency Data

Blood test, magnesium

Facility: Hospital of Univ of Pennsylvania

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $40
  • Cash Discount Price: $184
  • vs. Medicare Baseline: 5.97x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Hospital of Univ of Pennsylvania is $40. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $184. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 5.97x the Medicare baseline. Located in 3400 Spruce St, Philadelphia, PA.
Cash / Self-Pay
$184

Average discount available for prompt cash payment at this facility.

Insurance Median
$40

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: $184 (2746%)
Insurance Median: $40 (597%)
Cash: $184 (2746% of Medicare)
Ins. Median: $40 (597% 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 597% of the Medicare baseline (a markup of 497%). 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
Gspp And Wissahickon Hospice $3 45%
Cigna $4 - $83 60%
UnitedHealthcare $6 - $184 90%
Aetna $7 - $184 104%
Blue Cross Blue Shield $7 - $180 104%
Clover Health Plan $7 104%
Devoted Health $7 104%
Geisinger Health Plan $7 - $21 104%
Health Partners $7 - $184 104%
Humana $7 - $147 104%
Ibc $7 104%
Kaiser Permanente $7 - $184 104%
Keystone First $7 104%
Medicaid / KanCare $7 - $184 104%
Medicare (plans) $7 104%
Pa Health And Wellness $7 - $11 104%
Pa Medical Assistance $7 - $184 104%
Penn Life (Living Independently For Elders) $7 104%
Philadelphia Va Medical Center $7 104%
Tricare $7 104%
Upmc $7 - $184 104%
Us Family Health Plan $7 104%
Gateway Health Plan $8 119%
Keystone Mercy Health Plan $9 - $184 134%
Elap $10 149%
Claims Watcher $11 - $12 164%
Oscar Health Plan $11 164%
Centivo $12 179%
Elap Services $12 179%
Ibc Commercial Hpn $12 179%
Keystone Hmo Proactive $12 179%
Highmark $14 209%
Paired Kidney Exchange $15 224%
Penn Global Medicine $18 269%
Horizon Nj Health $31 - $32 463%
Preferred Health Care Eliance $40 597%
Pgm - Regie De L'Assurance Maladie Quebec $42 627%
Pgm - Kuwait Defense $64 - $83 955%
Qualcare $70 1045%
Olympus $72 1075%
Coventry $74 - $94 1104%
Pgm - Chop $74 1104%
Wissahickon Hospice $74 1104%
Healthamerica/Coventry $83 - $90 1239%
First Health Global $92 1373%
Health Net $110 1642%
Pgm - Royal Embassy Of Saudi Arabia $110 1642%
Pgm - Embassy Of Qatar $120 1791%
Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) $120 1791%
Interlink $123 1836%
Pgm - Embassy Of The United Emirates/Ipc $129 1925%
Health America/Ccn $147 2194%
Intergroup $147 2194%
Pgm - Kuwait Health Division $147 2194%
Pgm - Kuwait Oil $147 2194%
Preferred Care $147 2194%
Blue Quality Centers For Transplant (Bqct) $184 2746%
City Of Philadelphia Behavioral Health $184 2746%
Commercial Other $184 2746%
International Pfs $184 2746%
United Behavioral Health $184 2746%
Workers Compensation $184 2746%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3400 Spruce St, Philadelphia, PA 19104
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals