CMS Price Transparency Data
Blood test, average blood sugar (A1c)
Facility: Mercy Medical Center
Billing Code: 83036 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 83036
- Insurance Median: $10
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Mercy Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.03x the Medicare baseline. Located in 1000 North Village Avenue, Rockville Centre, NY.
Cash / Self-Pay
Unavailable
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%)
Insurance Median: $10 (103%)
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
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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 | $10 - $14 | 103% |
| Affinity Health Plan | $10 - $22 | 103% |
| Agewell New York | $10 | 103% |
| Beacon Health Options | $10 - $14 | 103% |
| Beacon Health Strategies | $10 - $14 | 103% |
| Blue Cross Blue Shield | $10 - $36 | 103% |
| Centerlight Healthcare | $10 | 103% |
| Centers Plan For Healthy Living | $10 | 103% |
| Elderplan Inc. | $10 | 103% |
| Emblem Health | $10 - $22 | 103% |
| Fidelis Care New York | $10 - $22 | 103% |
| Health First | $10 - $22 | 103% |
| Health Plus | $10 - $22 | 103% |
| Healthspring | $10 | 103% |
| Humana | $10 | 103% |
| Independent Health | $10 | 103% |
| Liberty Health | $10 | 103% |
| Longevity Health Plan | $10 | 103% |
| Medicaid / KanCare | $10 | 103% |
| Medicare (plans) | $10 | 103% |
| Mvp Health Plans | $10 - $25 | 103% |
| Orthonet - Uniformed Services Family Health Plan | $10 | 103% |
| Partners Health Plan | $10 | 103% |
| Pmc | $10 | 103% |
| Senior Whole Health | $10 | 103% |
| Surest | $10 | 103% |
| Tricare | $10 | 103% |
| UnitedHealthcare | $10 - $36 | 103% |
| Universal Healthcare | $10 | 103% |
| Us Family Health Plan | $10 | 103% |
| Veterans Affairs | $10 | 103% |
| Wellcare Health Plan Inc | $11 | 113% |
| Zadroga | $13 | 134% |
| Mail Handlers Benefit Plan | $14 | 144% |
| Meritain Health | $14 | 144% |
| Nippon Life Insurance Company Of America | $14 | 144% |
| Salvation Army | $14 | 144% |
| Centivo | $15 - $25 | 154% |
| American Plan Administrators | $22 | 227% |
| Amerihealth Administrators | $22 | 227% |
| Benefit Services | $22 | 227% |
| Ghi Cbp Ny City Employee Alternate | $22 | 227% |
| International Benefit Administrator | $22 | 227% |
| Ultra Benefits Inc. | $22 | 227% |
| Apwu | $25 | 257% |
| Brighton | $25 - $291 | 257% |
| Cigna | $25 - $270 | 257% |
| Daniel H Cook | $25 | 257% |
| Nalc | $25 | 257% |
| Samba | $25 | 257% |
| Self Pay | $36 | 371% |
| Local 1199 | $56 | 577% |
| Oscar Health | $171 | 1761% |
| Allied Wellfare Fund | $270 | 2781% |
| American Group Administrators | $270 | 2781% |
| Bakery & Confectionery Union | $270 | 2781% |
| Comprehensive Benefits Consultant | $270 | 2781% |
| Guardian Life Insurance Company Of America | $270 | 2781% |
| Maloney And Assoc | $270 | 2781% |
| Multiplan | $270 | 2781% |
| Performax | $270 | 2781% |
| Phcs | $270 | 2781% |
| Pomco | $270 | 2781% |
| Tpa Inc | $270 | 2781% |
| Unicare | $270 | 2781% |
| United Employees Health Plan | $270 | 2781% |
| Coventry | $308 - $333 | 3172% |
| Magellan | $333 | 3429% |
| Galaxy | $374 | 3852% |
| Three Rivers Provider Network | $374 | 3852% |
| Aither Health | $416 | 4284% |
| Alpha Care | $416 | 4284% |
| Dentaquest | $416 | 4284% |