CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Mercy Medical Center-New Hampton

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $115
  • Cash Discount Price: $313
  • vs. Medicare Baseline: 11.84x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Mercy Medical Center-New Hampton is $115. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $313. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 11.84x the Medicare baseline. Located in 308 North Maple Avenue, New Hampton, IA.
Cash / Self-Pay
$313

Average discount available for prompt cash payment at this facility.

Insurance Median
$115

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: $313 (3223%)
Insurance Median: $115 (1184%)
Cash: $313 (3223% of Medicare)
Ins. Median: $115 (1184% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1184% of the Medicare baseline (a markup of 1084%). 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.

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 - $122 93%
Blue Cross Blue Shield $48 494%
Aetna $49 - $115 505%
Medicare (plans) $49 - $54 505%
UnitedHealthcare $52 - $73 536%
Health Choices $62 639%
Medical Associates $62 639%
Amish Hospital Aid $65 669%
Oscar $72 742%
Geha $73 752%
Ambetter / Centene $82 844%
Iowa Total Care $83 855%
Medicaid / KanCare $85 875%
Claimdoc $98 1009%
Nova $98 1009%
1199 National Benefit Fund $115 1184%
Allied Benefit Systems $115 1184%
Asr Health Benefits $115 1184%
Coventry $115 1184%
First Health $115 1184%
Lucent Health $115 1184%
Luminare Health $115 1184%
Medical Mutual $115 1184%
Meritain $115 1184%
Trustmark Small Business Benefits $115 1184%
Webtpa $115 1184%
First Choice Health $116 1195%
Health Partners $117 1205%
Auxiant $118 1215%
Cigna $118 1215%
Medica $118 1215%
Midlands $118 1215%
Midlands Choice $118 1215%
Crime Victim Assistance $122 1256%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 308 North Maple Avenue, New Hampton, IA 50659
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals