CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Mercy Hospital Southeast

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $17
  • Cash Discount Price: $96
  • vs. Medicare Baseline: 1.75x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Mercy Hospital Southeast is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $96. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.75x the Medicare baseline. Located in 1701 Lacey St, Cape Girardeau, MO.
Cash / Self-Pay
$96

Average discount available for prompt cash payment at this facility.

Insurance Median
$17

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: $96 (989%)
Insurance Median: $17 (175%)
Cash: $96 (989% of Medicare)
Ins. Median: $17 (175% 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
Aetna $7 - $123 72%
Medicaid / KanCare $7 - $29 72%
American Health Advantage Of Mo Mcr Hmo Contracted [320264] $10 103%
Blue Cross Blue Shield $10 - $182 103%
Cross Timbers Hospice [20098] $10 103%
Dept Of Veteran Affairs Contracted [320106] $10 103%
Elara Caring Aspire Hospice Contracted [320433] $10 103%
Elara Caring Aspire Hospice [20433] $10 103%
Halo Hcr Inc Hospice Contracted [320432] $10 103%
Halo Hcr Inc Hospice [20432] $10 103%
Humana $10 - $163 103%
Kindful Hospice Contracted [320434] $10 103%
Kindful Hospice [20434] $10 103%
Medicare (plans) $10 103%
Mercy Hospice Okc [20252] $10 103%
Pace Of The Ozarks Contracted [320518] $10 103%
Tricare $10 103%
UnitedHealthcare $10 - $23 103%
Provider Partners Health Plans Contracted [320450] $11 113%
United Medical Resources Contracted [320454] $12 124%
Ambetter / Centene $13 134%
Consociate Consolidated Health Contracted [320490] $13 - $21 134%
Home State Health Plan Contracted [320187] $13 134%
Auxiant Contracted [320462] $16 - $19 165%
Centivo Contracted [320505] $16 165%
Ebms Contracted [320493] $16 165%
Healthlink Contracted [320179] $16 - $150 165%
Imagine 360 Contracted [320494] $16 165%
Mercy Benefit Admin Contracted [320251] $16 - $131 165%
Yuzu Health Contracted [320521] $16 - $131 165%
Preferred Health Plan Contracted [320522] $17 175%
Reflect Health Contracted [320492] $17 175%
Hope Trust Contracted [320488] $24 247%
Cigna $26 268%
First Health Contracted [320128] $67 - $123 690%
Health Alliance Contracted [320164] $68 - $125 700%
Aither Health Contracted [320449] $71 - $131 731%
Edison Health Solutions Contracted [320502] $71 - $131 731%
Mercy Benefit Admin [20251] $71 - $131 731%
Workers Comp [20426] $78 - $154 803%
Multiplan Contracted [320270] $83 - $154 855%
Private Health Care Systems Contracted [320320] $83 - $154 855%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1701 Lacey St, Cape Girardeau, MO 63701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals