Blood test, magnesium
Facility: Lindsborg Community Hospital
Billing Code: 83735 (CPT)
- CPT Billing Code: 83735
- Insurance Median: $96
- Cash Discount Price: $73
- vs. Medicare Baseline: 14.33x 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 1433% of the Medicare baseline (a markup of 1333%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $26 | 388% |
| Tricare | $49 | 731% |
| Coventry Mcr Adv | $50 | 746% |
| Cigna | $89 | 1328% |
| Coventry Comm-All Other Plans | $94 | 1403% |
| UnitedHealthcare | $94 | 1403% |
| Multiplan-All Plans | $97 | 1448% |
| Phcs Preferred-All Plans | $97 | 1448% |
| Coventry Wc | $99 | 1478% |
| Wppa-All Plans | $99 | 1478% |
| Health Partners -All Plans | $99 | 1478% |
| Century Health-All Plans | $99 | 1478% |
Consumer Guidance & Cost Commentary
For the blood test, magnesium procedure (CPT 83735), Lindsborg Community Hospital in Lindsborg, KS, has a gross charge of $105.00. While the facility's cash median rate is $73.00, which is lower than the negotiated rates paid by most insurers, the state and county averages are not provided in this report. The hospital is a Critical Access Hospital owned by a voluntary non-profit private entity. Patients with high-deductible plans may find the cash price of $73.00 more affordable than the insurance negotiated rate of $96.00 to $99.00, as paying out-of-pocket avoids deductibles and copays. It is important to ask the hospital directly about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can further lower the final cost.
Insurance coverage varies significantly across the 12 payers listed, with Blue Cross Blue Shield and Tricare negotiating rates of $26.00 and $49.00 respectively, while others like Cigna and UnitedHealthcare pay $89.00 to $94.00. Although the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should still verify their specific plan details. If a patient receives an itemized bill, they should request a full line-by-line audit to identify any unbundled codes or services not rendered, as over 80% of hospital bills contain errors. Comparing the facility's Medicare amount of $6.70 to the commercial rates reveals a significant markup, highlighting that commercial negotiated rates often exceed fair