CMS Price Transparency Data

Blood test, magnesium

Facility: Prisma Health Tuomey Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $9
  • Cash Discount Price: $82
  • vs. Medicare Baseline: 1.34x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Prisma Health Tuomey Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $82. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 1.34x the Medicare baseline. Located in 129 N Washington St, Sumter, SC.
Cash / Self-Pay
$82

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $82 (1224%)
Insurance Median: $9 (134%)
Cash: $82 (1224% of Medicare)
Ins. Median: $9 (134% 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
Blue Cross Blue Shield $5 - $24 75%
Bluechoice [810] $5 - $10 75%
Planned Administrators [820] $5 75%
Golden Rule Insurance Company [2991] $6 90%
Oxford Health Plans [2992] $6 90%
Tricare $6 90%
UnitedHealthcare $6 - $8 90%
Zzumr-Salt Lake City Ut [3169] $6 90%
Aetna $7 - $100 104%
Cigna $7 - $38 104%
Covid19 Hrsa Uninsured Testing & Treatment Fund [904] $7 104%
Healthy Conn Prime-First Choice Vip Care [5300] $7 104%
Healthy Conn Prime-Molina Healthcare [5330] $7 104%
Healthy Conn Prime-Wellcare Prime By Atc [5310] $7 104%
Humana $7 - $94 104%
Medicare (plans) $7 104%
Triwest Healthcare Alliance Vcp [902] $7 104%
Va Community Care Network-Vaccn [903] $7 104%
Medicaid / KanCare $8 - $9 119%
Workers Comp [600] $9 134%
Ambetter / Centene $12 179%
Scdc-Sc Dept Of Corrections [7232] $24 358%
Prisma Health Seniorcare Pace - Midlands [5400] $29 433%
Prisma Health Seniorcare Pace-Upstate [5200] $29 433%
Promise Health Plan Contracted [2401] $44 - $76 657%
Orangeburg Senior Helping Center Pace [5401] $50 746%
Bob Jones Univ-Pai [821] $76 1134%
Meritain Health Contracted [2200] $81 - $100 1209%
Preferred Administrators Contracted [2839] $88 1313%
Medcost [2940] $93 - $105 1388%
Atlantic Packaging Contracted [4833] $94 1403%
Aps Healthcare System [2981] $101 1507%
Multiplan/Phcs Contracted [2950] $112 1672%
Vsp Vision Care [2986] $113 1687%
First Health Contracted [2952] $117 1746%
Furman Int/Allen University Student [2951] $117 1746%
Quiktrip-First Health [3067] $117 1746%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 129 N Washington St, Sumter, SC 29150
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals