CMS Price Transparency Data

Blood test, magnesium

Facility: Aurora Medical Center Sheboygan County

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $83
  • Cash Discount Price: $65
  • vs. Medicare Baseline: 12.39x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Aurora Medical Center Sheboygan County is $83. 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 12.39x the Medicare baseline. Located in 2629 N 7Th St, Sheboygan, WI.
Cash / Self-Pay
$65

Average discount available for prompt cash payment at this facility.

Insurance Median
$83

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: $83 (1239%)
Cash: $65 (970% of Medicare)
Ins. Median: $83 (1239% 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 1239% of the Medicare baseline (a markup of 1139%). 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
UnitedHealthcare $5 - $126 75%
Aurora Caregiver $7 104%
Blue Cross Blue Shield $7 - $128 104%
Common Ground $14 - $15 209%
Aetna $15 - $124 224%
Centivo $15 224%
Health Payment Systems $17 254%
Quartz One $17 254%
Healthpartners $18 - $112 269%
Molina Exchange $18 269%
Cigna $19 - $127 284%
Hs Technology $19 284%
Quartz Group $19 284%
Everpointe Elite $20 299%
Wisconsin Physician Service $22 - $23 328%
Trilogy $24 358%
Health Eos Plus $60 - $90 896%
Health Eos $80 - $120 1194%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2629 N 7Th St, Sheboygan, WI 53083
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals