CMS Price Transparency Data

Blood test, magnesium

Facility: Tomah Memorial Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $57
  • Cash Discount Price: $96
  • vs. Medicare Baseline: 8.51x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Tomah Memorial Hospital is $57. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $96. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 8.51x the Medicare baseline. Located in 501 Gopher Dr, Tomah, WI.
Cash / Self-Pay
$96

Average discount available for prompt cash payment at this facility.

Insurance Median
$57

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: $96 (1433%)
Insurance Median: $57 (851%)
Cash: $96 (1433% of Medicare)
Ins. Median: $57 (851% 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 851% of the Medicare baseline (a markup of 751%). 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
Blue Cross Blue Shield $7 - $153 104%
Independent Care Mcaid $7 104%
Managed Hlth Mcaid - All Plans $7 104%
Quartz Mcaid $7 104%
Security Hp Mcaid $7 104%
Va Ccn - All Plans $11 164%
Group Hlth Mcr Adv - All Plans $57 851%
Humana $57 - $154 851%
Independent Care Mcr - All Other Plans $57 851%
Quartz Mcr Adv $57 851%
Security Hp Mcr Adv $57 851%
UnitedHealthcare $57 - $157 851%
Aetna $108 - $142 1612%
Cigna $127 - $162 1896%
Security Hp Comm - All Other Plans $142 2119%
Quartz Comm - All Other Plans $150 2239%
The Alliance - All Plans $155 2313%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 Gopher Dr, Tomah, WI 54660
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals