CMS Price Transparency Data

Blood test, magnesium

Facility: Sweeny Community Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $44
  • Cash Discount Price: $53
  • vs. Medicare Baseline: 6.57x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Sweeny Community Hospital is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $53. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 6.57x the Medicare baseline. Located in 305 North McKinney, Sweeny, TX.
Cash / Self-Pay
$53

Average discount available for prompt cash payment at this facility.

Insurance Median
$44

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: $53 (791%)
Insurance Median: $44 (657%)
Cash: $53 (791% of Medicare)
Ins. Median: $44 (657% 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 657% of the Medicare baseline (a markup of 557%). 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 $3 - $73 45%
Blue Cross Blue Shield $15 - $63 224%
Evercare Mcaid $24 - $63 358%
UnitedHealthcare $26 - $101 388%
Amerigroup Mcr Adv - All Other Plans $28 - $73 418%
Care Improvement Mcr - All Plans $28 - $74 418%
Choicecare Mcr Adv - All Plans $28 - $74 418%
Community Hlth Choice Him - All Other Plans $28 - $73 418%
Coventry Mcr Adv $28 - $73 418%
Molina Mcr Adv - All Other Plans $28 - $73 418%
Superior Hp Mcr Adv-All Other Plans $28 - $73 418%
Wellcare Mcare - All Plans $28 - $73 418%
Cigna $31 - $82 463%
Community Hlth Choice Star $34 - $89 507%
Molina Mcaid $34 - $89 507%
Superior Hp Mcaid $34 - $89 507%
Tx Chlidrens Hp Mcaid - All Plans $34 - $89 507%
Tx True Choice Mcaid - All Plans $34 - $89 507%
Beech Street - All Plans $36 - $95 537%
Community Care Network - All Plans $39 - $101 582%
Galaxy Health Network - All Plans $44 - $114 657%
Multiplan - All Plans $44 - $114 657%
Evercare Mcr Adv - All Other Plans $47 - $123 701%
Amerigroup Mcaid $48 - $127 716%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 305 North McKinney, Sweeny, TX 77480
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals