CMS Price Transparency Data

Blood test, magnesium

Facility: Hill Regional Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $239
  • Cash Discount Price: $341
  • vs. Medicare Baseline: 35.67x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Hill Regional Hospital is $239. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $341. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 35.67x the Medicare baseline. Located in 101 Circle Drive, Hillsboro, TX.
Cash / Self-Pay
$341

Average discount available for prompt cash payment at this facility.

Insurance Median
$239

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: $341 (5090%)
Insurance Median: $239 (3567%)
Cash: $341 (5090% of Medicare)
Ins. Median: $239 (3567% 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 3567% of the Medicare baseline (a markup of 3467%). 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
Great-West Healthcare $34 507%
The First Health Network $51 761%
UnitedHealthcare $193 2881%
Managed Care $239 3567%
Cigna $256 3821%
Aetna $290 4328%
Usa Managed Care Organization $290 4328%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 Circle Drive, Hillsboro, TX 76645
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals