CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Mercy Rehabilitation Hospital South

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $34
  • Cash Discount Price: $34
  • vs. Medicare Baseline: 3.50x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Mercy Rehabilitation Hospital South is $34. 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 3.50x the Medicare baseline. Located in 10114 Kennerly Rd, Saint Louis, MO.
Cash / Self-Pay
$34

Average discount available for prompt cash payment at this facility.

Insurance Median
$34

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: $34 (350%)
Cash: $34 (350% of Medicare)
Ins. Median: $34 (350% 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 350% of the Medicare baseline (a markup of 250%). 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
Aetna $34 350%
Ambetter / Centene $34 350%
Blue Cross Blue Shield $34 350%
Cigna $34 350%
Devoted Health $34 350%
Essence $34 350%
Healthlink Hmo $34 350%
Healthlink Ppo $34 350%
Healthy Blue (Missouri Care) $34 350%
Homestate Health Plan $34 350%
Humana $34 350%
Medica $34 350%
Medicaid / KanCare $34 350%
Meritain Health Cpd $34 350%
Meritain Health Ppo Cpd $34 350%
Starmark Cpd $34 350%
Tricare $34 350%
UnitedHealthcare $34 350%
Wellcare $34 350%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10114 Kennerly Rd, Saint Louis, MO 63128
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL