CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Mercyone Dyersville Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $101
  • Cash Discount Price: $79
  • vs. Medicare Baseline: 10.40x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Mercyone Dyersville Medical Center is $101. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $79. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 10.40x the Medicare baseline. Located in 1111 3Rd Street Sw, Dyersville, IA.
Cash / Self-Pay
$79

Average discount available for prompt cash payment at this facility.

Insurance Median
$101

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: $79 (814%)
Insurance Median: $101 (1040%)
Cash: $79 (814% of Medicare)
Ins. Median: $101 (1040% 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 1040% of the Medicare baseline (a markup of 940%). 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
Health Choices $46 474%
Blue Cross Blue Shield $68 700%
Medicare (plans) $69 - $75 711%
UnitedHealthcare $72 - $85 742%
The Alliance $74 762%
Geha $85 875%
Iowa Total Care $85 875%
Medicaid / KanCare $86 886%
Amish Hospital Aid $91 937%
1199 National Benefit Fund $101 1040%
Aetna $101 1040%
Allied Benefit Systems $101 1040%
Asr Health Benefits $101 1040%
Christian Brother Services $101 1040%
Coventry $101 1040%
First Health $101 1040%
Luminare Health $101 1040%
Medical Mutual $101 1040%
Meritain $101 1040%
Trustmark Small Business Benefits $101 1040%
Webtpa $101 1040%
Auxiant $110 1133%
Cigna $110 1133%
Medica $110 1133%
Midlands $110 1133%
Midlands Choice $110 1133%
Multiplan $110 1133%
Ambetter / Centene $115 1184%
Crime Victim Assistance $122 1256%
Iowa Dept Of Public Health $122 1256%
Claimdoc $137 1411%
Nova $137 1411%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1111 3Rd Street Sw, Dyersville, IA 52040
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals