CMS Price Transparency Data

Blood test, magnesium

Facility: St Joseph's Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $121
  • Cash Discount Price: $102
  • vs. Medicare Baseline: 18.06x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at St Joseph's Hospital is $121. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $102. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 18.06x the Medicare baseline. Located in 12866 Troxler Avenue, Highland, IL.
Cash / Self-Pay
$102

Average discount available for prompt cash payment at this facility.

Insurance Median
$121

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: $102 (1522%)
Insurance Median: $121 (1806%)
Cash: $102 (1522% of Medicare)
Ins. Median: $121 (1806% 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 1806% of the Medicare baseline (a markup of 1706%). 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
Meridian Health Plan $9 134%
Molina Healthcare $9 - $142 134%
UnitedHealthcare $13 - $142 194%
Caterpillar, Inc. $13 194%
Cigna $16 239%
Humana $28 - $142 418%
Sae Hospice $28 - $142 418%
Clear Spring Health of Illinois $28 - $142 418%
Blue Cross Blue Shield $28 - $142 418%
Aetna $28 - $142 418%
Amish Community $40 597%
Naphcare $60 - $298 896%
Celtic Insurance Company $62 - $142 925%
Hopetrust $71 - $142 1060%
Claim Doc $71 - $355 1060%
Wellfirst $91 1358%
First Health $105 1567%
Healthlink $121 1806%
Multiplan/Phcs $121 1806%
Provider Network of America $128 1910%
Healthcare Finest Network (Hfn) $128 1910%
Health Alliance Medical Plans $142 2119%
Qtc Medical Group of Illinois $142 2119%
Mental Health Network $142 2119%
Consociate Group $142 2119%
Healthscope $142 2119%
Illinois Breast and Cervical Cancer Program $142 2119%
Current Health Solutions $142 2119%
Interplan $142 2119%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12866 Troxler Avenue, Highland, IL 62249
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals