CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Massac Memorial Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $40
Cash Discount Price: $63
vs. Medicare Baseline: 4.12x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Massac Memorial Hospital is $40. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 4.12x the Medicare baseline. Located in 28 Chick Street, Po Box 850, Metropolis, IL.

Cash / Self-Pay

$63

Average discount available for prompt cash payment at this facility.

Insurance Median

$40

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: $63 (649%)

Insurance Median: $40 (412%)

Cash: $63 (649% of Medicare)

Ins. Median: $40 (412% 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 412% of the Medicare baseline (a markup of 312%). 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
Aetna	$10 - $110	103%
Blue Cross Blue Shield	$10 - $129	103%
Medicaid / KanCare	$10	103%
Molina Ky Mcaid	$10	103%
Chesi Op Only-All Plans	$24 - $71	247%
Health Alliance Mcare Adv	$24 - $71	247%
Humana	$24 - $71	247%
Health Alliance Exchange	$30 - $87	309%
Health Alliance-All Other Plans	$30 - $87	309%
Prime Health Services-All Plans	$30 - $87	309%
Healthlink Hmo	$34 - $98	350%
Cigna	$38 - $110	391%
Healthlink Ppo-All Other Plans	$38 - $110	391%
UnitedHealthcare	$39 - $113	402%
Multiplan-All Plans	$41 - $121	422%

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 $63.
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 Massac Memorial 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.