CMS Price Transparency Data

Blood test, magnesium

Facility: PAM Rehabilitation Hospital of Victoria

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $109
  • Cash Discount Price: $145
  • vs. Medicare Baseline: 16.27x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at PAM Rehabilitation Hospital of Victoria is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $145. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 16.27x the Medicare baseline. Located in 101 James Coleman Dr, Victoria, TX.
Cash / Self-Pay
$145

Average discount available for prompt cash payment at this facility.

Insurance Median
$109

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: $145 (2164%)
Insurance Median: $109 (1627%)
Cash: $145 (2164% of Medicare)
Ins. Median: $109 (1627% 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 1627% of the Medicare baseline (a markup of 1527%). 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
America'S Choice Provider Network $102 1522%
Provider Network Of America $109 1627%
Quik Trip $109 1627%
Usa Managed Care Organization $109 1627%
Velocity Provider Ppo Network $109 1627%
Multiplan/Phcs $116 1731%
Prime Health Services $123 1836%
Medincrease $131 1955%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 James Coleman Dr, Victoria, TX 77904
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL