CMS Price Transparency Data

Blood test, magnesium

Facility: Memorial Medical Center

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $77
  • Cash Discount Price: $95
  • vs. Medicare Baseline: 11.49x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Memorial Medical Center is $77. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $95. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 11.49x the Medicare baseline. Located in 701 N Virginia St, Port Lavaca, TX.
Cash / Self-Pay
$95

Average discount available for prompt cash payment at this facility.

Insurance Median
$77

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: $95 (1418%)
Insurance Median: $77 (1149%)
Cash: $95 (1418% of Medicare)
Ins. Median: $77 (1149% 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 1149% of the Medicare baseline (a markup of 1049%). 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.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Amerigroup Mcr Adv-All Other Plans $25 - $157 373%
Care Improvement Plus - All Other Plans $25 - $157 373%
Coventry First Hlth Mcr Adv $25 - $157 373%
Multiplan Mcr Adv $25 - $157 373%
Superior Allwell Mcr Adv-All Other Plans $25 - $157 373%
Triwest Va Pccc-All Plans $25 - $154 373%
UnitedHealthcare $25 - $450 373%
Universal American Mcr-All Other Plans $25 - $157 373%
Care Improvement Plus Mcr $26 - $159 388%
Universal American Snp $27 - $165 403%
Ambetter / Centene $31 - $189 463%
Blue Cross Blue Shield $33 - $34 493%
Amerigroup Chip $44 - $270 657%
Amerigroup Star $44 - $270 657%
Amerigroup Star Kids $44 - $270 657%
Amerigroup Star Plus $44 - $270 657%
Comm Health Chip $44 - $270 657%
Comm Health Perinatal-All Other Plans $44 - $270 657%
Molina Chip/Star-All Plans $44 - $270 657%
Scott & White Chip/Star-All Plans $44 - $270 657%
Superior Chip/Star $44 - $270 657%
Texas Childrens Hp - All Plans $44 - $270 657%
Comm Health Mcaid Hmo $46 - $283 687%
Comm Health Star $46 - $283 687%
Prime Healthcare Services-All Plans $64 - $393 955%
Cigna $68 - $422 1015%
Aetna $73 - $450 1090%
Capstar Health Network-All Plans $73 - $450 1090%
Coventry First Hlth Hmo Ppo-All Other Plans $73 - $450 1090%
Healthcare Highways-All Plans $73 - $450 1090%
Humana $73 - $450 1090%
Corvel Work Comp-All Plans $77 - $478 1149%
Galaxy Health Network-All Plans $77 - $478 1149%
Independent Med Sys Ppo-All Plans $77 - $478 1149%
Multiplan Phcs Ppo-All Other Plans $77 - $478 1149%
Provider Select Ppo-All Plans $77 - $478 1149%
Three Rivers Ppo-All Plans $77 - $478 1149%
Usa Mso - All Plans $77 - $478 1149%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 N Virginia St, Port Lavaca, TX 77979
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals