CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Mercyone Dubuque Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $16
  • Cash Discount Price: $561
  • vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Mercyone Dubuque Medical Center is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $561. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.65x the Medicare baseline. Located in 250 Mercy Drive, Dubuque, IA.
Cash / Self-Pay
$561

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$9.71

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $9.71 (100%)
Cash / Self-Pay: $561 (5778%)
Insurance Median: $16 (165%)
Cash: $561 (5778% of Medicare)
Ins. Median: $16 (165% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $9.71 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
Iowa Dept Of Public Health $9 - $119 93%
Iowa Total Care $9 93%
Aetna $10 - $99 103%
Blue Cross Blue Shield $10 103%
Geha $10 103%
Medicaid / KanCare $10 103%
Medicare (plans) $10 103%
Preferred Health Choice $10 103%
Stephenson Cty Health $10 103%
UnitedHealthcare $10 - $119 103%
Amish Hospital Aid $13 134%
Oscar $13 134%
Centivo $15 154%
Ambetter / Centene $16 165%
Claimdoc $20 206%
Nova $20 206%
Health Choices $44 453%
Midlands Choice $69 - $107 711%
Wps $71 731%
The Alliance $72 742%
Mhnet $95 978%
1199 National Benefit Fund $99 1020%
Allied Benefit Systems $99 1020%
Asr Health Benefits $99 1020%
Christian Brother Services $99 1020%
Coventry $99 1020%
First Health $99 1020%
Lucent Health $99 1020%
Luminare Health $99 1020%
Medical Mutual $99 1020%
Meritain $99 1020%
Trustmark Small Business Benefits $99 1020%
Webtpa $99 1020%
Auxiant $107 1102%
Cigna $107 1102%
Medica $107 1102%
Midlands $107 1102%
Multiplan $107 1102%
Unity $107 1102%
Crime Victim Assistance $119 1226%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 250 Mercy Drive, Dubuque, IA 52001
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals