CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Neshoba County General Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $19
  • Cash Discount Price: $34
  • vs. Medicare Baseline: 1.96x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Neshoba County General Hospital is $19. 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 1.96x the Medicare baseline. Located in 1001 Holland Ave, Philadelphia, MS.
Cash / Self-Pay
$34

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

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: $19 (196%)
Cash: $34 (350% of Medicare)
Ins. Median: $19 (196% 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
Magnolia Mcaid $9 93%
Molina Mcaid $9 93%
Mpcn Mcaid $9 93%
Tricare $9 93%
UnitedHealthcare $9 - $36 93%
Humana $10 103%
Magnolia Mcr Adv-All Other Plans $10 103%
Molina Comm-All Other Plans $10 103%
Molina Mcr Adv $10 103%
Wellcare Mcr Adv-All Plans $10 103%
Aetna $12 - $36 124%
First Choice Comm Ip/Op Only - All Plans $12 124%
Cigna $16 - $47 165%
Ahs Ip/Op Only-All Plans $18 - $55 185%
Blue Cross Blue Shield $19 - $58 196%
Affordable Health Care-All Plans $20 - $62 206%
Health Choice Ip/Op Only-All Plans $20 - $62 206%
Health Link Ip/Op Only-All Plans $20 - $62 206%
Geha-All Plans $22 - $66 227%
Multiplan-All Plans $22 - $66 227%
Mpcn Ip/Op Only-All Other Plans $30 - $91 309%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1001 Holland Ave, Philadelphia, MS 39350
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - CRITICAL ACCESS HOSPITAL