CMS Price Transparency Data

Blood test, magnesium

Facility: UPMC Bedford Memorial

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $39
  • Cash Discount Price: $41
  • vs. Medicare Baseline: 5.82x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at UPMC Bedford Memorial is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $41. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 5.82x the Medicare baseline. Located in 10455 Lincoln Highway, Everett, PA.
Cash / Self-Pay
$41

Average discount available for prompt cash payment at this facility.

Insurance Median
$39

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: $41 (612%)
Insurance Median: $39 (582%)
Cash: $41 (612% of Medicare)
Ins. Median: $39 (582% 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 582% of the Medicare baseline (a markup of 482%). 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
Aetna $2 - $46 30%
Upmc Health Plan $6 - $27 90%
Amerihealth Caritas $7 - $11 104%
Blue Cross Blue Shield $7 - $44 104%
Cigna $7 - $46 104%
Health Partners Plans (Jefferson Health Plan) $7 104%
Highmark Wholecare (Prev Gateway) $7 - $11 104%
Pa Health & Wellness $7 - $12 104%
UnitedHealthcare $7 - $46 104%
Upmc Work Partners $7 104%
Geisinger $10 149%
Intergroup $45 - $62 672%
Coventry/First Health $48 716%
Preferred Healthcare System $55 821%
Health Coalition Partners $62 925%
Humana $62 925%
Private Health Care Systems $62 925%
Selectcare $62 925%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10455 Lincoln Highway, Everett, PA 15537
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals