CMS Price Transparency Data

Blood test, magnesium

Facility: Pennsylvania Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $72
  • Cash Discount Price: $209
  • vs. Medicare Baseline: 10.75x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Pennsylvania Hospital is $72. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $209. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 10.75x the Medicare baseline. Located in 800 Spruce Street, Philadelphia, PA.
Cash / Self-Pay
$209

Average discount available for prompt cash payment at this facility.

Insurance Median
$72

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: $209 (3119%)
Insurance Median: $72 (1075%)
Cash: $209 (3119% of Medicare)
Ins. Median: $72 (1075% 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 1075% of the Medicare baseline (a markup of 975%). 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
Cigna $4 - $71 60%
Aetna $7 - $209 104%
Blue Cross Blue Shield $7 - $209 104%
Clover Health Plan $7 104%
Gateway Health Plan $7 - $8 104%
Geisinger Health Plan $7 - $21 104%
Health Partners $7 - $209 104%
Humana $7 - $167 104%
Ibc $7 104%
Keystone First $7 104%
Medicaid / KanCare $7 - $209 104%
Medicare (plans) $7 104%
Pa Health And Wellness $7 - $11 104%
Pa Medical Assistance $7 104%
Penn Life (Living Independently For Elders) $7 104%
Philadelphia Va Medical Center $7 104%
Tricare $7 104%
UnitedHealthcare $7 - $209 104%
Upmc $7 - $209 104%
Us Family Health Plan $7 104%
Keystone Mercy Health Plan $9 134%
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%
Penn Global Medicine $18 269%
Horizon Nj Health $35 - $37 522%
Pgm - Regie De L'Assurance Maladie Quebec $48 716%
Preferred Health Care Eliance $54 806%
Pgm - Kuwait Defense $73 - $94 1090%
Devon $79 - $94 1179%
Qualcare $79 1179%
Coventry $84 - $107 1254%
Pgm - Chop $84 1254%
Wissahickon Hospice $84 1254%
Healthamerica/Coventry $94 - $102 1403%
Olympus $102 1522%
First Health Global $104 1552%
Urn-Cancer Resource Services $104 1552%
Health Net $125 1866%
Pgm - Royal Embassy Of Saudi Arabia $125 1866%
Pgm - Embassy Of Qatar $136 2030%
Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) $136 2030%
Pgm - Embassy Of The United Emirates/Ipc $146 2179%
Devon Health Services Inc $167 2493%
Health America/Ccn $167 2493%
Intergroup $167 2493%
Pgm - Kuwait Health Division $167 2493%
Pgm - Kuwait Oil $167 2493%
Preferred Care $167 2493%
Commercial Other $209 3119%
Community Behavioral Health $209 3119%
International Pfs $209 3119%
Quest Behavioral Health $209 3119%
United Behavioral Health $209 3119%
Workers Compensation $209 3119%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 Spruce Street, Philadelphia, PA 19107
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals