CMS Price Transparency Data
Blood test, average blood sugar (A1c)
Facility: Mercy Hospital Springfield
Billing Code: 83036 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 83036
- Insurance Median: $19
- Cash Discount Price: $109
- vs. Medicare Baseline: 1.96x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Mercy Hospital Springfield is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $109. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.96x the Medicare baseline. Located in 2115 S. Fremont Ave, Springfield, MO.
Cash / Self-Pay
$109
Average discount available for prompt cash payment at this facility.
Insurance Median
$19
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: $109 (1123%)
Insurance Median: $19 (196%)
Cash: $109 (1123% of Medicare)
Ins. Median: $19 (196% 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $7 - $128 | 72% |
| Aetna | $9 - $12 | 93% |
| Humana | $9 - $114 | 93% |
| Medica Contracted [320239] | $9 | 93% |
| Medica [20239] | $9 | 93% |
| Medicaid / KanCare | $9 - $19 | 93% |
| Centurion Of Missouri [20459] | $10 | 103% |
| Champva [20065] | $10 | 103% |
| Cherokee Nation Health Serv Contracted [320066] | $10 | 103% |
| Cigna | $10 - $55 | 103% |
| Cross Timbers Hospice [20098] | $10 | 103% |
| Dept Of Veteran Affairs Contracted [320106] | $10 | 103% |
| Elara Caring Aspire Hospice [20433] | $10 | 103% |
| Globalhealth Contracted [320145] | $10 | 103% |
| Halo Hcr Inc Hospice Contracted [320432] | $10 | 103% |
| Halo Hcr Inc Hospice [20432] | $10 | 103% |
| Indian Health Service Contracted [320198] | $10 | 103% |
| Indian Health Service [20198] | $10 | 103% |
| Kindful Hospice Contracted [320434] | $10 | 103% |
| Kindful Hospice [20434] | $10 | 103% |
| Medicare (plans) | $10 | 103% |
| Mercy Hospice Okc [20252] | $10 | 103% |
| Mercy Mgd Behavioral Health Contracted [320259] | $10 | 103% |
| Mercy Rehab Hospital Contracted [320260] | $10 | 103% |
| Pace Of The Ozarks Contracted [320518] | $10 | 103% |
| Provider Partners Health Plans Contracted [320450] | $10 | 103% |
| Qual Choice Contracted [320325] | $10 | 103% |
| Tricare | $10 | 103% |
| United Medical Resources Contracted [320454] | $10 - $87 | 103% |
| UnitedHealthcare | $10 - $129 | 103% |
| Healthscope Contracted [320182] | $12 | 124% |
| Centivo Contracted [320505] | $16 | 165% |
| Providrs Care Network Contracted [320484] | $18 | 185% |
| Aither Health Contracted [320449] | $19 - $96 | 196% |
| Ambetter / Centene | $19 | 196% |
| Auxiant Contracted [320462] | $19 - $109 | 196% |
| Ebms Contracted [320493] | $19 | 196% |
| Healthlink Contracted [320179] | $19 - $58 | 196% |
| Home State Health Plan Contracted [320187] | $19 | 196% |
| Imagine 360 Contracted [320494] | $19 | 196% |
| Mercy Benefit Admin Contracted [320251] | $19 - $96 | 196% |
| Novasys Contracted [320285] | $19 | 196% |
| Reflect Health Contracted [320492] | $19 | 196% |
| Yuzu Health Contracted [320521] | $19 | 196% |
| 90 Degree Benefits Contracted [320436] | $57 | 587% |
| Show-Me Health Administrators Contracted [320483] | $57 - $60 | 587% |
| Benefit Management Contracted [320052] | $67 | 690% |
| Health Systems Inc Contracted [320174] | $67 | 690% |
| Insurance System Inc Contracted [320465] | $67 | 690% |
| Administrative Payor Contracted [320005] | $76 - $84 | 783% |
| Evolutions Health Care Contracted [320124] | $76 | 783% |
| Point C Contracted [320238] | $76 - $126 | 783% |
| Point C [20238] | $76 | 783% |
| Medical Destinations Contracted [320242] | $84 | 865% |
| Workers Comp [20426] | $84 - $143 | 865% |
| First Health Contracted [320128] | $94 | 968% |
| Edison Health Solutions Contracted [320502] | $96 | 989% |
| Federal Medical Center Contracted [320127] | $101 | 1040% |
| Multiplan Contracted [320270] | $129 | 1329% |
| Private Health Care Systems Contracted [320320] | $129 | 1329% |
| Compcare Of The Ozarks Contracted [320437] | $133 | 1370% |
| American Healthcare Alliance Contracted [320020] | $134 | 1380% |
| Qual Choice Contracted [320324] | $134 | 1380% |
| Municipal Health Plan Contracted [320271] | $136 | 1401% |
| Usa Managed Care Org Contracted [320429] | $148 | 1524% |
| Ppo Plus Contracted [320310] | $151 | 1555% |