Blood test, magnesium
Facility: Northeast Regional Medical Center
Billing Code: 83735 (CPT)
- CPT Billing Code: 83735
- Insurance Median: $117
- Cash Discount Price: $130
- vs. Medicare Baseline: 17.46x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 1746% of the Medicare baseline (a markup of 1646%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Tricare | $6 | 90% |
| Node Champva | $6 | 90% |
| Medicaid / KanCare | $6 - $10 | 90% |
| Node Devoted Health McR Adv | $7 | 104% |
| Blue Prefrerred | $7 | 104% |
| Blue Pathway/Pathway X | $7 | 104% |
| Blue Access | $7 | 104% |
| Node VA | $7 | 104% |
| Blue Cross Blue Shield | $7 - $100 | 104% |
| Medicare (plans) | $7 | 104% |
| UnitedHealthcare | $7 - $247 | 104% |
| Veterans Eval Services | $7 | 104% |
| Node Hospice Non Par Agree | $7 | 104% |
| Us Department of Labor | $8 | 119% |
| Centurion Correctional | $8 | 119% |
| Home State Exchange | $12 | 179% |
| Naphcare | $13 | 194% |
| Immergrun | $13 | 194% |
| Self Pay | $79 - $181 | 1179% |
| Cigna | $112 - $129 | 1672% |
| Aetna | $122 - $274 | 1821% |
| Access Health Services, LLC | $214 | 3194% |
| Multiplan | $247 - $263 | 3687% |
| Healthlink | $247 - $263 | 3687% |
| Coventry Wc | $263 | 3925% |
Consumer Guidance & Cost Commentary
For code 83735, a blood test for magnesium, Northeast Regional Medical Center in Kirksville charges a cash median of $130, which is significantly lower than the facility's gross rate of $329 and the state average of $117. While the facility's negotiated rates with insurers range from $6 to $100 depending on the plan, patients with high-deductible plans or those without insurance may find the $130 cash price more advantageous than the commercial negotiated rates, which often exceed the cash amount due to administrative overhead and contract dynamics.
Commercial payers at this facility have negotiated rates between $6 and $100, with UnitedHealthcare showing a wide range from $7 to $100 across its plans, while Self Pay rates span $79 to $247. To minimize costs, patients should explicitly request self-pay or prompt-pay discounts before scheduling, as these upfront payment options can reduce the final bill by bypassing costly insurance claims processing. Additionally, consumers should verify their deductible status and demand an itemized billing audit to ensure no unbundled codes or services not rendered are included in the final invoice, as summary bills often obscure these discrepancies.