CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Mercy Hospital - Cassville

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $101
Cash Discount Price: $82
vs. Medicare Baseline: 10.40x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Mercy Hospital - Cassville is $101. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $82. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 10.40x the Medicare baseline. Located in 94 Main Street, Cassville, MO.

Cash / Self-Pay

$82

Average discount available for prompt cash payment at this facility.

Insurance Median

$101

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: $82 (844%)

Insurance Median: $101 (1040%)

Cash: $82 (844% of Medicare)

Ins. Median: $101 (1040% 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 1040% of the Medicare baseline (a markup of 940%). 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	$9 - $112	93%
Humana	$9 - $107	93%
Medicaid / KanCare	$9 - $66	93%
Blue Cross Blue Shield	$10 - $122	103%
Medicare (plans)	$10 - $54	103%
UnitedHealthcare	$13 - $120	134%
Dept Of Veteran Affairs Contracted [320106]	$43	443%
Tricare	$51	525%
Cherokee Nation Health Serv Contracted [320066]	$52	536%
Cigna	$52 - $120	536%
Cross Timbers Hospice [20098]	$52	536%
Elara Caring Aspire Hospice [20433]	$52	536%
Globalhealth Contracted [320145]	$52	536%
Halo Hcr Inc Hospice Contracted [320432]	$52	536%
Halo Hcr Inc Hospice [20432]	$52	536%
Indian Health Service Contracted [320198]	$52	536%
Kindful Hospice Contracted [320434]	$52	536%
Kindful Hospice [20434]	$52	536%
Medical Associates Health Contracted [320444]	$52	536%
Mercy Hospice Okc [20252]	$52	536%
Mercy Mgd Behavioral Health Contracted [320259]	$52	536%
Pace Of The Ozarks Contracted [320518]	$52	536%
Provider Partners Health Plans Contracted [320450]	$52	536%
Qual Choice Contracted [320325]	$52	536%
Healthscope Contracted [320182]	$53	546%
Administrative Payor Contracted [320005]	$57	587%
Centivo Contracted [320505]	$64	659%
Ambetter / Centene	$66	680%
Home State Health Plan Contracted [320187]	$66	680%
Novasys Contracted [320285]	$66	680%
Healthlink Contracted [320179]	$82 - $113	844%
Preferred Health Plan Contracted [320522]	$82	844%
Health Systems Inc Contracted [320174]	$101	1040%
Insurance System Inc Contracted [320465]	$101	1040%
Point C Contracted [320238]	$101 - $113	1040%
Point C [20238]	$101	1040%
United Medical Resources Contracted [320454]	$101 - $107	1040%
Workers Comp [20426]	$101 - $113	1040%
Municipal Health Plan Contracted [320271]	$102	1050%
90 Degree Benefits Contracted [320436]	$113	1164%
Aither Health Contracted [320449]	$113	1164%
American Healthcare Alliance Contracted [320020]	$113	1164%
Auxiant Contracted [320462]	$113	1164%
Benefit Management Contracted [320052]	$113	1164%
Ebms Contracted [320493]	$113	1164%
Edison Health Solutions Contracted [320502]	$113	1164%
Evolutions Health Care Contracted [320124]	$113	1164%
Imagine 360 Contracted [320494]	$113	1164%
Medica Contracted [320239]	$113	1164%
Mercy Benefit Admin Contracted [320251]	$113	1164%
Reflect Health Contracted [320492]	$113	1164%
Show-Me Health Administrators Contracted [320483]	$113	1164%
Usa Managed Care Org Contracted [320429]	$113	1164%
Yuzu Health Contracted [320521]	$113	1164%
First Health Contracted [320128]	$120	1236%
Multiplan Contracted [320270]	$120	1236%
Private Health Care Systems Contracted [320320]	$120	1236%

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 $82.
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 Mercy Hospital - Cassville 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.