CMS Price Transparency Data

Blood test, magnesium

Facility: Texas Orthopedic Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $7
  • Cash Discount Price: $858
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Texas Orthopedic Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $858. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 1.04x the Medicare baseline. Located in 7401 South Main Street, Houston, TX.
Cash / Self-Pay
$858

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: $858 (12806%)
Insurance Median: $7 (104%)
Cash: $858 (12806% 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
Aetna $6 - $39 90%
Amerigroup $6 - $7 90%
Community Health Choice Mcd $6 90%
Molina Healthcare $6 - $15 90%
Texas Childrens Health Plans $6 - $142 90%
Texas Health Network $6 90%
United $6 - $386 90%
American Health Plan $7 104%
Blue Cross Blue Shield $7 - $300 104%
Christus (Usfhp) $7 104%
Cigna $7 - $36 104%
Devoted Health $7 104%
Humana $7 - $89 104%
Integranet Amerigroup Ipa $7 104%
Kelsey Seybold $7 104%
Molina $7 104%
Oscar $7 - $19 104%
Procare Advantage $7 104%
Provider Partners Health Plan Of Texas $7 104%
Shared Health $7 104%
Superior Health Plan $7 - $51 104%
Triwest Healthcare Alliance $7 104%
Van Lang Ipa $7 104%
Wellcare $7 104%
Wellmed $7 104%
Universal Healthcare Group $8 119%
Verda Health Plan $9 134%
Community Health Choice $10 149%
Superior $10 149%
Corvel Corporation $13 194%
Omni Healthcare $14 209%
Healthcare Highways $20 299%
Texas Workforce Commission $206 3075%
Evry Health $234 3493%
Imagine Health $300 4478%
Healthsmart Preferred Care $369 - $729 5507%
Averde Health $386 5761%
Fidelis Securecare Of Tx $386 5761%
Coventry National First Health $457 6821%
Physicians Cooperative Of Texas $472 7045%
Rockport Workers Comp $472 7045%
Independent Medical System $515 7687%
National Healthcare Solutions $515 7687%
Southwest Medical $515 7687%
Coastal Comp $557 8313%
Multiplan $643 - $729 9597%
International Health Insurance $686 10239%
Physicians, Inc $729 10881%
Affiliated Ppo $772 11522%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7401 South Main Street, Houston, TX 77030
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals