CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Merit Health Wesley

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $11
  • Cash Discount Price: $100
  • vs. Medicare Baseline: 1.13x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Merit Health Wesley is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $100. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.13x the Medicare baseline. Located in 5001 W Hardy St, Hattiesburg, MS.
Cash / Self-Pay
$100

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $100 (1030%)
Insurance Median: $11 (113%)
Cash: $100 (1030% of Medicare)
Ins. Median: $11 (113% 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
Medicaid / KanCare $7 - $10 72%
Caresource Truecare $9 93%
Magnolia $9 - $10 93%
Magnolia Mcd Ms Chip $9 93%
Molina Chip $9 93%
Node Champva $9 93%
Tricare $9 93%
UnitedHealthcare $9 - $44 93%
Aetna $10 - $163 103%
First Choice $10 - $314 103%
Humana $10 103%
Medicare (plans) $10 103%
Molina $10 103%
Node Devoted Health Mcr Adv $10 103%
Node First Choice American Health Mcr Adv $10 103%
Node First Choice Wellcare Mcr Adv $10 103%
Node Hospice Non Par Agree $10 103%
Node Va $10 103%
Node Vantage Mcr Adv $10 103%
Veterans Eval Services $10 103%
Node Healthy Mississippi Mcr Adv $11 113%
Node Us Dept Of Labor $12 124%
Advanced Health Systems $13 134%
Blue Cross Blue Shield $14 144%
First Choice Molina $17 175%
Magnolia Exchange $17 175%
Molina Exchange $17 175%
Ms Work Comp $18 185%
First Choice Lgp $21 216%
Vantage Health $22 227%
Chs Group Health Plan $78 803%
Self Pay $82 - $118 844%
Cigna $111 1143%
Trimed Billing Solutions $118 1215%
Benefit Management Services $255 2626%
Coventry First Health $294 3028%
Ms Dept Of Rehabilitation Services $392 4037%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5001 W Hardy St, Hattiesburg, MS 39402
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals