CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Barnes-Jewish St Peters Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $36
  • Cash Discount Price: $34
  • vs. Medicare Baseline: 3.71x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Barnes-Jewish St Peters Hospital is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $34. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 3.71x the Medicare baseline. Located in 10 Hospital Dr, Saint Peters, MO.
Cash / Self-Pay
$34

Average discount available for prompt cash payment at this facility.

Insurance Median
$36

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: $34 (350%)
Insurance Median: $36 (371%)
Cash: $34 (350% of Medicare)
Ins. Median: $36 (371% 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 371% of the Medicare baseline (a markup of 271%). 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
UnitedHealthcare $10 - $42 103%
Healthscope Benefits [258] $12 124%
Sarah Bush Lincoln [636] $12 - $17 124%
Cigna $13 - $21 134%
Aetna $17 - $42 175%
Allied Benefits [498] $17 - $42 175%
Consociate [478] $17 175%
Coresource [497] $17 175%
Fmh Benefit Service Inc [222] $17 175%
Mail Handlers [495] $17 175%
Apwu Health Plan [216] $21 216%
Nalc Health Benefit Plan [242] $21 216%
Priority Health [648] $21 216%
Blue Cross Blue Shield $23 - $49 237%
Healthlink [225] $27 - $42 278%
Humana $27 278%
Cox Health Systems Insurance Company [220] $31 - $36 319%
Health Alliance [224] $31 319%
Hope Trust [806] $32 330%
Med-Pay [480] $36 - $42 371%
Unicare [568] $36 - $42 371%
Beechstreet [551] $42 433%
Detego Health [868] $42 433%
First Health Commercial [734] $42 433%
Health Systems Inc [620] $42 433%
Healthcare Sol Mercy [609] $42 433%
Multiplan Commercial [737] $42 433%
Multiplan [240] $42 433%
Phcs [244] $42 - $45 433%
Preferred Health Professionals [561] $42 433%
Hfn [563] $45 463%
Medica [661] $45 463%
Mh Magellan Health Services [270] $56 577%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10 Hospital Dr, Saint Peters, MO 63376
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals