CMS Price Transparency Data

Blood test, magnesium

Facility: PAM Rehabilitation Hospital of Allen

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $106
  • Cash Discount Price: $142
  • vs. Medicare Baseline: 15.82x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at PAM Rehabilitation Hospital of Allen is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $142. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 15.82x the Medicare baseline. Located in 1001 Raintree Circle, Allen, TX.
Cash / Self-Pay
$142

Average discount available for prompt cash payment at this facility.

Insurance Median
$106

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: $142 (2119%)
Insurance Median: $106 (1582%)
Cash: $142 (2119% of Medicare)
Ins. Median: $106 (1582% 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 1582% of the Medicare baseline (a markup of 1482%). 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
Superior Health $6 90%
America'S Choice Provider Network $99 1478%
Provider Network Of America $106 1582%
Quik Trip $106 1582%
Usa Managed Care Organization $106 1582%
Velocity Provider Ppo Network $106 1582%
Multiplan/Phcs $113 1687%
Prime Health Services $120 1791%
Medincrease $127 1896%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1001 Raintree Circle, Allen, TX 75013
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL