CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Bmh-Calhoun

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $52
  • Cash Discount Price: $35
  • vs. Medicare Baseline: 5.36x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Bmh-Calhoun is $52. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 5.36x the Medicare baseline. Located in 140 Burke-Calhoun City Road, Calhoun City, MS.
Cash / Self-Pay
$35

Average discount available for prompt cash payment at this facility.

Insurance Median
$52

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: $35 (360%)
Insurance Median: $52 (536%)
Cash: $35 (360% of Medicare)
Ins. Median: $52 (536% 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 536% of the Medicare baseline (a markup of 436%). 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
Molina $10 - $53 103%
Veterans Evaluation Services $10 103%
Blue Cross Blue Shield $13 - $30 134%
Ppo Holdings $25 257%
Magnolia Regional Health Center $27 278%
Tricare $27 278%
Devoted Health $29 299%
Ms Breast And Cervical $29 299%
Triwest $29 299%
Vaccn $29 299%
Aetna $30 - $44 309%
American Health Plan $30 309%
Humana $30 - $54 309%
Primewell $30 309%
Shared Health $30 309%
Magnolia Ms $33 340%
Littler $34 350%
Cigna $37 381%
First Choice Health Plan Of Ms $43 443%
Burch Food Services $49 505%
First State Bank Trust $49 505%
Arlington Community Schools $52 536%
Armstrong Relocation $52 536%
Ashley Furniture Stores $52 536%
Bartlett City Schools $52 536%
Brimhall Foods $52 536%
Building Plastic $52 536%
Cannon Motor Company $52 536%
Carlisle $52 536%
City Of Bartlett $52 536%
City Of Lakeland $52 536%
Collierville Schools $52 536%
Crittenden County $52 536%
Davidson Hospitality $52 536%
Delta Industries $52 536%
Desoto Co Board Of Supervisors $52 536%
Dunn Investment Company $52 536%
Eas Mssc Schools $52 536%
First Community Bank $52 536%
French Camp Academy $52 536%
Gossett Motor Cars $52 536%
Hattiesburg Clinic $52 536%
Heartland Catfish Company $52 536%
Heavy Machines $52 536%
Hollowell Industries $52 536%
Hospitality Management Advisors $52 536%
Jas D Collier $52 536%
Lakeland School System $52 536%
Malco Theaters $52 536%
Mechanical Systems $52 536%
Mid-South Transport $52 536%
Minact $52 536%
Patterson Warehouses $52 536%
Radians $52 536%
Rei Nation $52 536%
Retzer Resources $52 536%
Ritchey Automotive $52 536%
Security One $52 536%
Silver Tree $52 536%
State Systems $52 536%
Town Of Collierville $52 536%
United Tn Holdings $52 536%
Vaughn Electric $52 536%
W G Yates $52 536%
W W Wood Products $52 536%
Watkins Uiberall $52 536%
Y K Auto Group $52 536%
Advanced Health Systems Inc. $54 556%
Christian Health Aid $54 556%
Ppo Plus $57 587%
Employers Health Network $58 597%
Harding Academy $58 597%
Multiplan $60 618%
Qca $60 618%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 140 Burke-Calhoun City Road, Calhoun City, MS 38916
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals