CMS Price Transparency Data

Blood test, magnesium

Facility: Excela Health - Frick Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $8
  • Cash Discount Price: $15
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Excela Health - Frick Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 1.19x the Medicare baseline. Located in 508 South Church Street, Mount Pleasant, PA.
Cash / Self-Pay
$15

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $15 (224%)
Insurance Median: $8 (119%)
Cash: $15 (224% of Medicare)
Ins. Median: $8 (119% 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
Upmc For Kids Chip $5 75%
Highmark Advantage Community Blue $6 90%
Aetna $7 - $15 104%
American Health Plan Of Pa $7 104%
Amerihealth Caritas $7 - $9 104%
Cigna $7 - $10 104%
Devoted $7 104%
Geisinger $7 - $9 104%
Health Partners Plan $7 104%
Highmark Wholecare $7 - $9 104%
Humana $7 104%
Martin'S Point $7 104%
Pa Health And Wellness $7 - $9 104%
Peak Health $7 - $16 104%
Provider Network Of America $7 - $20 104%
Provider Plan Partners Plan $7 104%
The Health Plan Of West Virginia $7 - $16 104%
United $7 104%
Upmc $7 - $9 104%
Va $7 104%
Ambetter / Centene $8 119%
Highmark Children'S Health Insurance Program $8 119%
UnitedHealthcare $8 119%
Upmc Health Plan $8 - $21 119%
Health Partners Plans $9 134%
Highmark $9 - $15 134%
Velocity $10 149%
Community Blue $13 194%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 508 South Church Street, Mount Pleasant, PA 15666
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals