CMS Price Transparency Data

Blood test, magnesium

Facility: St Francis Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83735
Insurance Median: $130
Cash Discount Price: $109
vs. Medicare Baseline: 19.40x Medicare

The contracted insurance negotiated median rate for a Blood test, magnesium at St Francis Hospital is $130. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $109. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 19.40x the Medicare baseline. Located in 1215 Franciscan Dr, Litchfield, IL.

Cash / Self-Pay

$109

Average discount available for prompt cash payment at this facility.

Insurance Median

$130

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: $109 (1627%)

Insurance Median: $130 (1940%)

Cash: $109 (1627% of Medicare)

Ins. Median: $130 (1940% 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 1940% of the Medicare baseline (a markup of 1840%). 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
Wexford	$5	75%
Meridian Health Plan	$6	90%
Molina Healthcare	$6 - $152	90%
Clear Spring Health of Illinois	$32 - $152	478%
Blue Cross Blue Shield	$32 - $152	478%
Humana	$32 - $152	478%
UnitedHealthcare	$33 - $152	493%
Aetna	$33 - $152	493%
Amish Community	$43	642%
Celtic Insurance Company	$77 - $334	1149%
Claim Doc	$80 - $380	1194%
Hopetrust	$87 - $380	1299%
Wellfirst	$98	1463%
First Health	$113	1687%
Cigna	$122	1821%
Caterpillar, Inc.	$122	1821%
Current Health Solutions	$128	1910%
Multiplan/Phcs	$129	1925%
Consociate Group	$129	1925%
Healthlink	$130	1940%
Healthcare Finest Network (Hfn)	$137	2045%
Provider Network of America	$137	2045%
Interplan	$152	2269%
Healthscope	$152	2269%
Health Alliance Medical Plans	$152	2269%
Naphcare	$152	2269%
Live360	$152	2269%
Illinois Breast and Cervical Cancer Program	$152	2269%

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 $109.
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 St Francis 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.