CMS Price Transparency Data

Blood test, magnesium

Facility: Medical City Plano

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $51
  • Cash Discount Price: $710
  • vs. Medicare Baseline: 7.61x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Medical City Plano is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $710. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 7.61x the Medicare baseline. Located in 3901 W 15Th St, Plano, TX.
Cash / Self-Pay
$710

Average discount available for prompt cash payment at this facility.

Insurance Median
$51

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: $710 (10597%)
Insurance Median: $51 (761%)
Cash: $710 (10597% of Medicare)
Ins. Median: $51 (761% 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 761% of the Medicare baseline (a markup of 661%). 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
Aetna $6 - $444 90%
Amerigroup $6 - $7 90%
Cigna $6 - $103 90%
Molina $6 - $7 90%
Parkland Community Health Plan $6 90%
United $6 - $128 90%
American Health Plan Of Texas, Inc. $7 104%
Blue Cross Blue Shield $7 - $326 104%
Care N Care $7 104%
Devoted Health $7 104%
Humana $7 - $74 104%
Imperial Insurance Company $7 104%
Integranet $7 104%
Mutual Of Omaha $7 104%
Procare Advantge $7 104%
Provider Partners Health Plan $7 104%
Superior Health Plan $7 - $51 104%
Texas Independent Health Plan $7 104%
Triwest Health Alliance $7 104%
Triwest Veterans $7 104%
Wellcare $7 104%
Wellmed $7 104%
Universal Healthcare Group $8 119%
Verda Health Plan $9 134%
Bravo Health $10 149%
Superior $12 - $15 179%
Corvel Corporation $13 194%
Usa Managed Care $13 - $587 194%
Oscar $17 254%
Molina Healthcare $18 269%
Healthcare Highways $159 - $248 2373%
Evry Health $167 - $189 2493%
Lifecare Hospitals $194 - $220 2896%
Prominence Health Plan $259 - $293 3866%
City Of Mckinney $292 - $330 4358%
Fidelis Securecare $292 - $330 4358%
National Choicecare $324 - $367 4836%
Pc Texas Partners $356 - $403 5313%
Physicians Coop Of Tx $356 - $403 5313%
Rockport Health Group $356 - $403 5313%
Averde Health, Inc $376 - $425 5612%
Texas Healthcare Foundation Wc $421 - $477 6284%
Coastal Comp Health Networks $453 - $513 6761%
Mega Life $453 - $513 6761%
Multiplan Phcs $453 - $513 6761%
Healthsmart Preferred Care $486 - $550 7254%
Lewisville Isd/Dls Consulting $486 - $550 7254%
Usc Health Services $518 - $587 7731%
Galaxy Health Network $551 - $623 8224%
Independent Medical Systems $648 - $733 9672%
National Healthcare Solutions $648 - $733 9672%
Unicare $648 - $733 9672%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3901 W 15Th St, Plano, TX 75075
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals