CMS Price Transparency Data

Blood test, magnesium

Facility: Kenmore Mercy Hospital

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $7
  • Cash Discount Price: $11
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Kenmore Mercy Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 1.04x the Medicare baseline. Located in 2950 Elmwood Avenue, Kenmore, NY.
Cash / Self-Pay
$11

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $11 (164%)
Insurance Median: $7 (104%)
Cash: $11 (164% of Medicare)
Ins. Median: $7 (104% 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.

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
UnitedHealthcare $5 - $7 75%
Independent Health [100165] $5 - $7 75%
Tuscarora Nation [550120] $5 75%
Beacon Essential [350122] $5 75%
Medicaid / KanCare $5 - $7 75%
Univera Healthcare Essential [100170] $5 - $6 75%
Crime Victims [100176] $5 75%
Excellus Rochester McD [350117] $5 75%
Iha First Choice [800001] $5 75%
Independent Health Essential [100166] $6 90%
Univera Healthcare [100169] $7 - $10 104%
Wellcare Fidelis Dual [450451] $7 104%
Aetna $7 104%
Federal Workers Compensation [500100] $7 104%
Medicare (plans) $7 104%
Humana $7 104%
Wellcare [450129] $7 104%
Cigna $7 104%
VA Veterans Affairs [700001] $7 104%
Fidelis Dual Advantage [450120] $7 104%
Tricare $7 104%
Blue Cross Blue Shield $7 - $13 104%
Hospice [550001] $7 104%
Fallon Health [450115] $7 104%
Seneca Nation [450119] $7 104%
Covid19 Hrsa [45013] $7 104%
Catholic Health Life Pace [400005] $7 104%
Champ VA [700002] $7 104%
No Fault [114001] $9 134%
Fidelis Exchange [100164] $10 149%
Molina Essential [100167] $11 164%
Fidelis Essential [100163] $11 164%
Amerigroup [350102] $13 194%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2950 Elmwood Avenue, Kenmore, NY 14217
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals