CMS Price Transparency Data

Blood test, magnesium

Facility: Monument Health Rapid City Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $28
  • Cash Discount Price: $42
  • vs. Medicare Baseline: 4.18x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Monument Health Rapid City Hospital is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $42. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 4.18x the Medicare baseline. Located in 353 Fairmont Blvd, Rapid City, SD.
Cash / Self-Pay
$42

Average discount available for prompt cash payment at this facility.

Insurance Median
$28

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: $42 (627%)
Insurance Median: $28 (418%)
Cash: $42 (627% of Medicare)
Ins. Median: $28 (418% 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 418% of the Medicare baseline (a markup of 318%). 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
Humana $7 - $83 104%
Medicare (plans) $7 104%
UnitedHealthcare $7 - $61 104%
Va Black Hills Health Care System 12115 [3081206] $7 104%
Minnesota Health Care Programs 12K16 [3081295] $8 - $28 119%
Tricare $8 - $26 119%
Health Partners Sx009 [3081102] $11 - $57 164%
Healthpartners [3081368] $11 164%
Coresource 38225 [3081146] $18 - $63 269%
Govt Employees Health Assn [3081090] $18 - $61 269%
National Telephone Cooperative Assn 52103 [3081149] $18 - $61 269%
Surest [3081369] $18 - $61 269%
United Medical Resources 39026 [3081194] $18 - $61 269%
Avera Health Plans 46045 [3081018] $21 - $68 313%
Risk Admin Svs [3081167] $21 - $74 313%
Rocky Mountain Admin Llc 83028 [3081168] $22 - $74 328%
Medica (Commercial) 94265 [3081118] $23 - $76 343%
Employee Benefit Management 12X44 [3081079] $24 - $78 358%
Pacificsource Health Plans [3081333] $24 - $78 358%
Tlc Advantage Llc [3081189] $24 - $86 358%
Aetna $25 - $83 373%
Group And Pension Administrators Inc [3081098] $25 - $83 373%
Multiplan Inc 34080 [3081285] $25 - $83 373%
Sanford Health Plan 91184 [3081174] $25 - $83 373%
Allied Benefit Systems Inc [3081320] $27 - $88 403%
Cigna $27 - $88 403%
Fedmed Inc [3081283] $27 - $87 403%
Key Benefit Administrators [3081332] $27 - $88 403%
Meritain Health [3081135] $27 - $88 403%
Midlands Choice 47080 [3081136] $27 - $88 403%
Preferred One 41147 [3081160] $27 - $88 403%
Blue Cross Blue Shield $37 552%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 353 Fairmont Blvd, Rapid City, SD 57701
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals