CMS Price Transparency Data
Blood test, average blood sugar (A1c)
Facility: Mercy Hospital Ardmore, Inc
Billing Code: 83036 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 83036
- Insurance Median: $34
- Cash Discount Price: $59
- vs. Medicare Baseline: 3.50x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Mercy Hospital Ardmore, Inc is $34. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $59. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 3.50x the Medicare baseline. Located in 1011 14Th Ave Nw, Ardmore, OK.
Cash / Self-Pay
$59
Average discount available for prompt cash payment at this facility.
Insurance Median
$34
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: $59 (608%)
Insurance Median: $34 (350%)
Cash: $59 (608% of Medicare)
Ins. Median: $34 (350% 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 350% of the Medicare baseline (a markup of 250%). 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 |
|---|---|---|
| Aetna | $9 - $81 | 93% |
| Humana | $9 - $88 | 93% |
| Medicaid / KanCare | $9 - $13 | 93% |
| Blue Cross Blue Shield | $10 | 103% |
| Cherokee Nation Health Serv Contracted [320066] | $10 | 103% |
| Cigna | $10 - $14 | 103% |
| Cross Timbers Hospice [20098] | $10 | 103% |
| Dept Of Veteran Affairs Contracted [320106] | $10 | 103% |
| Elara Caring Aspire Hospice Contracted [320433] | $10 | 103% |
| Elara Caring Aspire Hospice [20433] | $10 | 103% |
| Globalhealth Contracted [320145] | $10 | 103% |
| Halo Hcr Inc Hospice Contracted [320432] | $10 | 103% |
| Halo Hcr Inc Hospice [20432] | $10 | 103% |
| Independent Health [20197] | $10 | 103% |
| Indian Health Service Contracted [320198] | $10 | 103% |
| Kindful Hospice Contracted [320434] | $10 | 103% |
| Kindful Hospice [20434] | $10 | 103% |
| Medical Associates Health [20444] | $10 | 103% |
| Medicare (plans) | $10 - $128 | 103% |
| Mercy Hospice Okc [20252] | $10 | 103% |
| Provider Partners Health Plans Contracted [320450] | $10 | 103% |
| Qual Choice Contracted [320325] | $10 | 103% |
| Tribute Health Plan Mcr Contracted [320338] | $10 | 103% |
| Tricare | $10 | 103% |
| UnitedHealthcare | $10 - $12 | 103% |
| United Medical Resources Contracted [320454] | $12 - $83 | 124% |
| Ambetter / Centene | $13 | 134% |
| Health Choice Contracted [320166] | $13 | 134% |
| Home State Health Plan Contracted [320187] | $13 | 134% |
| Medica Contracted [320239] | $13 - $128 | 134% |
| Novasys Contracted [320285] | $13 | 134% |
| Community Care Contracted [320080] | $15 - $90 | 154% |
| Workers Comp [20426] | $17 | 175% |
| Healthcare Highways Plus Contracted [320175] | $21 - $77 | 216% |
| Healthsmart Preferred Care Contracted [320184] | $21 - $83 | 216% |
| Kempton Contracted [320214] | $21 | 216% |
| Webtpa Contracted [320417] | $22 - $54 | 227% |
| Osma Health Contracted [320292] | $24 - $58 | 247% |
| Aither Health Contracted [320449] | $32 - $77 | 330% |
| Auxiant Contracted [320462] | $32 - $83 | 330% |
| Benefit Management Contracted [320052] | $32 - $83 | 330% |
| Ebms Contracted [320493] | $32 - $77 | 330% |
| Healthlink Contracted [320179] | $32 - $83 | 330% |
| Imagine 360 Contracted [320494] | $32 - $77 | 330% |
| Mercy Benefit Admin Contracted [320251] | $32 - $83 | 330% |
| Quik Trip Contracted [320447] | $32 - $77 | 330% |
| Reflect Health Contracted [320492] | $32 - $77 | 330% |
| Show-Me Health Administrators Contracted [320483] | $32 - $77 | 330% |
| Yuzu Health Contracted [320521] | $32 - $77 | 330% |
| Federal Medical Center Contracted [320127] | $34 - $83 | 350% |
| Healthscope Contracted [320182] | $34 - $83 | 350% |
| Healthsmart Accel Contracted [320183] | $34 - $83 | 350% |
| Point C Contracted [320238] | $34 - $83 | 350% |
| Preferred Health Plan Contracted [320522] | $34 - $83 | 350% |
| Tri State Healthcare Coalition Contracted [320379] | $34 - $83 | 350% |
| First Health Contracted [320128] | $35 - $85 | 360% |
| Globalhealth Contracted [320144] | $36 - $87 | 371% |
| Preferred Community Choice Contracted [320311] | $40 - $97 | 412% |
| Private Health Care Systems Contracted [320320] | $40 - $102 | 412% |
| Multiplan Contracted [320270] | $42 - $115 | 433% |