CMS Price Transparency Data

Blood test, magnesium

Facility: Samuel Mahelona Memorial Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83735
Insurance Median: $56
Cash Discount Price: $67
vs. Medicare Baseline: 8.36x Medicare

The contracted insurance negotiated median rate for a Blood test, magnesium at Samuel Mahelona Memorial Hospital is $56. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $67. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 8.36x the Medicare baseline. Located in 4800 Kawaihau Road, Kapaa, HI.

Cash / Self-Pay

$67

Average discount available for prompt cash payment at this facility.

Insurance Median

$56

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: $67 (1000%)

Insurance Median: $56 (836%)

Cash: $67 (1000% of Medicare)

Ins. Median: $56 (836% 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 836% of the Medicare baseline (a markup of 736%). 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
Hawaii Western Management Group	$7	104%
Hawaii Medical Service Association	$8 - $56	119%
UnitedHealthcare	$9 - $56	134%
University Health Alliance	$17	254%
Ohana Health Plan	$47 - $56	701%
Kaiser Permanente	$47 - $100	701%
Humana	$47 - $56	701%
Alohacare	$47 - $56	701%
Devoted Health	$52 - $61	776%
Health Management Network	$80 - $94	1194%
Mdx Hawaii	$91 - $108	1358%

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 $67.
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 Samuel Mahelona Memorial 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.