CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Anderson Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $15
  • Cash Discount Price: $88
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Anderson Hospital is $15. 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 1.54x the Medicare baseline. Located in 6800 State Route 162, Maryville, IL.
Cash / Self-Pay
$88

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $15 (154%)
Cash: $88 (906% of Medicare)
Ins. Median: $15 (154% 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
Medicaid / KanCare $6 62%
Tricare $9 93%
Aetna $10 - $15 103%
Clear Springs Health $10 103%
Devoted Health Ppo $10 103%
Essence $10 103%
Humana $10 103%
Medicare (plans) $10 103%
UnitedHealthcare $10 - $16 103%
Health Care Service Corporation $12 - $81 124%
Ambetter / Centene $14 144%
Blue Choice $14 144%
Mercy Benefit Admin $16 165%
Mercy Aco $17 175%
Hopetrust $24 247%
Work Comp $39 - $26,600 402%
Healthlink $53 546%
Self Pay $88 - $25,000 906%
Blue Cross Blue Shield $95 - $98 978%
Cigna $132 1359%
Multiplan/Phcs $132 1359%
Beech Street Corporation $159 1637%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6800 State Route 162, Maryville, IL 62062
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals