CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Monroe County Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $76
Cash Discount Price: $88
vs. Medicare Baseline: 7.83x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Monroe County Hospital is $76. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $88. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 7.83x the Medicare baseline. Located in 6580 165Th Street, Albia, IA.

Cash / Self-Pay

$88

Average discount available for prompt cash payment at this facility.

Insurance Median

$76

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: $88 (906%)

Insurance Median: $76 (783%)

Cash: $88 (906% of Medicare)

Ins. Median: $76 (783% 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 783% of the Medicare baseline (a markup of 683%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Wellmark Hmo	$6	62%
Wellmark Ppo - All Other Plans	$7	72%
Va Ccn - All Plans	$11 - $17	113%
Mahp Mcare - All Plans	$48 - $75	494%
Tricare	$48 - $75	494%
UnitedHealthcare	$48 - $170	494%
Aetna	$49 - $168	505%
Amerigroup Mcare	$49 - $76	505%
Humana	$49 - $76	505%
Wellmark Mcare	$49 - $76	505%
Iowa Total Care Mcaid - All Plans	$57 - $89	587%
Molina Mcaid - All Plans	$58 - $91	597%
Amerigroup Mcaid - All Other Plans	$59 - $92	608%
Centivo - All Plans	$72 - $113	742%
Midlands Choice - All Plans	$80 - $125	824%
Preferred Hlth - All Plans	$86 - $134	886%
Geha - All Plans	$92 - $143	947%
Multiplan - All Plans	$104 - $161	1071%
Integrated Hp - All Plans	$112 - $174	1153%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $88.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 83036.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Monroe County Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 83036.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.