CMS Price Transparency Data

Blood test, magnesium

Facility: Sycamore Shoals Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $7
  • Cash Discount Price: $12
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Sycamore Shoals Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 1.04x the Medicare baseline. Located in 1501 West Elk Avenue, Elizabethton, TN.
Cash / Self-Pay
$12

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $12 (179%)
Insurance Median: $7 (104%)
Cash: $12 (179% of Medicare)
Ins. Median: $7 (104% 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 $2 - $38 30%
Amerigroup $3 - $7 45%
Aetna $6 - $50 90%
Molina Healthcare $6 - $7 90%
Optima Health $6 90%
Cigna $7 - $27 104%
Devoted Health Plan $7 104%
Humana $7 104%
Managed Medicaire $7 104%
Medicare (plans) $7 104%
Nhc Advantage $7 104%
Sentara Health $7 - $22 104%
United Mine Workers Of America $7 104%
UnitedHealthcare $7 - $9 104%
Wellcare $7 - $79 104%
Ambetter / Centene $15 224%
Medcost $28 418%
First Health Coventry $59 881%
Seven Corners, Inc. $79 1179%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1501 West Elk Avenue, Elizabethton, TN 37643
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals