CMS Price Transparency Data

Blood test, magnesium

Facility: Indiana Regional Medical Center

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $10
  • Cash Discount Price: $26
  • vs. Medicare Baseline: 1.49x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Indiana Regional Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 1.49x the Medicare baseline. Located in 835 Hospital Road, Indiana, PA.
Cash / Self-Pay
$26

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $26 (388%)
Insurance Median: $10 (149%)
Cash: $26 (388% of Medicare)
Ins. Median: $10 (149% 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 $4 - $21 60%
Highmark Wholecare $5 - $7 75%
Tricare $6 - $100 90%
Aetna $7 - $20 104%
Ambetter / Centene $7 - $10 104%
Amerihealth Caritas $7 - $10 104%
Cigna $7 - $21 104%
Geisinger Health Plan $7 - $10 104%
Humana $7 104%
Medicare (plans) $7 104%
United Mine Workers Of America $7 104%
UnitedHealthcare $7 - $40 104%
Upmc Health Plan $7 - $46 104%
Geisinger $9 - $19 134%
Pa Health And Wellness Commercial $9 - $19 134%
Department Of Human Services And Torrance State Hospital $23 - $63 343%
Premier Comp Solutions, Llc $33 - $90 493%
Miscellaneous Commercial $37 - $100 552%
Pa Workers Compensation $37 - $100 552%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 835 Hospital Road, Indiana, PA 15701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals