CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Salem Memorial District Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $12
  • Cash Discount Price: $11
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Salem Memorial District Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.24x the Medicare baseline. Located in Po Box 774, Salem, MO.
Cash / Self-Pay
$11

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $11 (113%)
Insurance Median: $12 (124%)
Cash: $11 (113% of Medicare)
Ins. Median: $12 (124% 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 $3 - $136 31%
Ambetter / Centene $3 - $51 31%
Blue Cross Blue Shield $3 - $144 31%
Humana $3 - $129 31%
Tricare $3 - $51 31%
Triwest $3 - $51 31%
UnitedHealthcare $3 - $51 31%
Veteran'S Affairs $3 - $51 31%
Healthlink $6 - $98 62%
Cigna $7 - $129 72%
First Health $7 - $121 72%
Mercy - C.B. Management Company/Joplin Supply Company $7 - $121 72%
Mercy - City Of Springfield $7 - $121 72%
Mercy - Clayco $7 - $121 72%
Mercy - Commerce Bank $7 - $121 72%
Mercy - Diversified Plastics $7 - $121 72%
Mercy - Employers Benefit Alliance $7 - $121 72%
Mercy - Evolutions $7 - $121 72%
Mercy - Fabick Cat $7 - $121 72%
Mercy - Firsthealth Network $7 - $121 72%
Mercy - Health Management Network $7 - $121 72%
Mercy - Health Systems Inc $7 - $121 72%
Mercy - Liberty Utilities/Empire District Electric $7 - $121 72%
Mercy - Life Church $7 - $121 72%
Mercy - Missouri State University $7 - $121 72%
Mercy - Prime Health Services $7 - $121 72%
Mercy - Quiktrip Corporation $7 - $121 72%
Mercy - Shinesolar $7 - $121 72%
Mercy - Springfield Public Schools $7 - $121 72%
Mercy - Springfield Remanufacturing $7 - $121 72%
Mercy - Sumnerone $7 - $121 72%
Mercy - Trailiner $7 - $121 72%
Mercy - Walmart Mercy Accountable Care Plan $7 - $121 72%
Mercy-American Healthcare Alliance $7 - $121 72%
Phcs $7 - $129 72%
Mercy - Compresults $8 - $136 82%
Mercy - Corvel Corporation $8 - $136 82%
Mercy - Novasys $8 - $136 82%
Mercy - Scurlock Industries $8 - $136 82%
Mercy - Usa Managed Care Organization $8 - $136 82%
Right Choice-Alliance $8 - $144 82%
Right Choice-Regular $8 - $147 82%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Po Box 774, Salem, MO 65560
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals