CMS Price Transparency Data

Blood test, magnesium

Facility: Astria Toppenish Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83735
Insurance Median: $33
Cash Discount Price: $65
vs. Medicare Baseline: 4.93x Medicare

The contracted insurance negotiated median rate for a Blood test, magnesium at Astria Toppenish Hospital is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $65. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 4.93x the Medicare baseline. Located in 502 W Fourth Ave, Toppenish, WA.

Cash / Self-Pay

$65

Average discount available for prompt cash payment at this facility.

Insurance Median

$33

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: $65 (970%)

Insurance Median: $33 (493%)

Cash: $65 (970% of Medicare)

Ins. Median: $33 (493% 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 493% of the Medicare baseline (a markup of 393%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Medicaid / KanCare	$3 - $23	45%
Ambetter / Centene	$4	60%
Molina	$4	60%
UnitedHealthcare	$4 - $124	60%
Va	$4	60%
Medicare (plans)	$5 - $124	75%
Molina_Exchange	$6	90%
Aetna	$7 - $132	104%
Cigna	$7	104%
Humana	$7 - $150	104%
Li	$7	104%
Tricare	$7	104%
Zenith	$7	104%
Regence	$17 - $51	254%
Premera	$19 - $57	284%
Premera_Affordable_Care	$19 - $57	284%
Kaiser	$26	388%
Chpw_Cascade_Care	$32 - $94	478%
First_Choice	$34 - $104	507%
Tpsc	$39 - $117	582%
Bcchp	$50 - $150	746%
Great_Rivers	$50 - $150	746%
Healthcomp	$50 - $150	746%
Washington_State_Hca	$50 - $150	746%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $65.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 83735.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Astria Toppenish Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 83735.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.