CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Sarah Bush Lincoln Health Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $58
  • Cash Discount Price: $78
  • vs. Medicare Baseline: 5.97x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Sarah Bush Lincoln Health Center is $58. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $78. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 5.97x the Medicare baseline. Located in 1000 Health Center Drive P O Box 372, Mattoon, IL.
Cash / Self-Pay
$78

Average discount available for prompt cash payment at this facility.

Insurance Median
$58

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: $78 (803%)
Insurance Median: $58 (597%)
Cash: $78 (803% of Medicare)
Ins. Median: $58 (597% 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 597% of the Medicare baseline (a markup of 497%). 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
Aetna $6 - $137 62%
Bc Comm Care Mcaid $6 62%
Hlth Alliance Mcaid $6 62%
Meridian Mcaid $6 62%
Molina Mcaid $6 62%
Bc Comm Mmai $10 103%
Bc Med Adv Ppo/Hmo $10 103%
Beacon Health Options Behav-All Plans $10 103%
Hlth Alliance Mcr Adv $10 103%
Humana $10 103%
Meridian Mmai-All Other Plans $10 103%
Molina Mmai-All Other Plans $10 103%
Tricare $10 103%
UnitedHealthcare $10 - $126 103%
Va Ccn-All Plans $10 103%
Wellcare Med Adv-All Plans $10 103%
Plain Church Mg-All Plans $24 - $61 247%
Mennonite-All Plans $27 - $68 278%
Eiu Athlete-All Other Plans $43 - $106 443%
Healthscope-All Plans $45 - $112 463%
Rural King-All Plans $45 - $112 463%
Blue Cross Blue Shield $48 - $122 494%
Consociate-All Plans $49 - $122 505%
Hope Trust-All Plans $49 - $122 505%
Eiu Student $50 - $125 515%
Allied National-All Plans $51 - $128 525%
Companion Life-All Plans $51 - $128 525%
Hlth Alliance-All Other Plans $51 - $128 525%
First Health-All Plans $52 - $129 536%
Healthlink Hmo $52 - $131 536%
Healthlink Ppo - All Other Plans $52 - $131 536%
Innovative Hlthware-All Plans $52 - $129 536%
Multiplan-All Plans $52 - $131 536%
Cigna $55 - $137 566%
Cphp-All Plans $55 - $137 566%
Beech Street-All Plans $56 - $140 577%
Hfn-All Plans $56 - $140 577%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Health Center Drive P O Box 372, Mattoon, IL 61938
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals