CMS Price Transparency Data

Blood test, magnesium

Facility: Lee County Community Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $11
  • Cash Discount Price: $11
  • vs. Medicare Baseline: 1.64x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Lee County Community Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 1.64x the Medicare baseline. Located in 127 Health Care Drive, Pennington Gap, VA.
Cash / Self-Pay
$11

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $11 (164%)
Insurance Median: $11 (164%)
Cash: $11 (164% of Medicare)
Ins. Median: $11 (164% 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.

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
Blue Cross Blue Shield $2 - $49 30%
UnitedHealthcare $7 - $11 104%
Aetna $8 - $49 119%
Molina Healthcare $8 - $11 119%
Optima Health $8 119%
Ambetter / Centene $11 164%
Amerigroup $11 - $49 164%
Cigna $11 - $49 164%
Devoted Health Plan $11 164%
Humana $11 164%
Managed Medicaire $11 164%
Medicare (plans) $11 164%
Mountain Empire Pace $11 164%
Nhc Advantage $11 164%
Sentara Health $11 - $13 164%
United Mine Workers Of America $11 164%
Seven Corners, Inc. $26 388%
First Health Coventry $49 731%
Medcost $49 731%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 127 Health Care Drive, Pennington Gap, VA 24277
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals