CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Merit Health Women's Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $10
  • Cash Discount Price: $47
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Merit Health Women's Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $47. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.03x the Medicare baseline. Located in 1026 River Oaks Drive, Flowood, MS.
Cash / Self-Pay
$47

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $47 (484%)
Insurance Median: $10 (103%)
Cash: $47 (484% of Medicare)
Ins. Median: $10 (103% 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
UnitedHealthcare $1 - $123 10%
Cigna $2 - $94 21%
Self Pay $2 - $95 21%
Trimed Billing Solutions $3 - $130 31%
First Choice Mpcn $4 - $195 41%
First Choice Standard $4 - $199 41%
State Hospital $4 - $165 41%
Coventry First Health $5 - $225 51%
First Choice Ppo Plus $5 - $238 51%
Aetna $7 - $303 72%
Benefit Management Systems $7 - $368 72%
First Choice Stratose $8 - $346 82%
Health Choice Of Mississippi $8 - $346 82%
Prime Health Services $8 - $346 82%
Tricare $8 - $9 82%
Caresource Truecare $9 93%
Magnolia Mcd Ms Chip $9 93%
Medicaid / KanCare $9 - $10 93%
Molina Chip $9 93%
Node Champva $9 93%
Advanced Health Systems $10 - $13 103%
Blue Cross Blue Shield $10 - $14 103%
Humana $10 103%
Medicare (plans) $10 103%
Mississippi Department Of Rehabilitation Services $10 - $433 103%
Molina Exchange $10 - $17 103%
Ms Work Comp $10 - $433 103%
Node Devoted Health Mcr Adv $10 103%
Node First Choice American Health Of Ms Mcr Adv $10 103%
Node First Choice Seven Corners $10 - $17 103%
Node First Choice Wellcare Mcr Adv $10 103%
Node Molina Mcr Adv $10 103%
Node Shared Health Of Ms Mcr Adv $10 103%
Node Va $10 103%
Node Vantage Health Mcr Adv $10 103%
Node Windsor Mcr Adv $10 103%
Veterans Eval Services $10 103%
Node Healthy Mississippi Mcr Adv $11 113%
Node Us Dept Of Labor $12 124%
First Choice Preferred $15 154%
Occunet $15 154%
Magnolia Exchange $17 175%
First Choice Lgp $21 216%
Vantage Health $22 227%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1026 River Oaks Drive, Flowood, MS 39232
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals