CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: East Georgia Regional Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $17
  • Cash Discount Price: $147
  • vs. Medicare Baseline: 1.75x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at East Georgia Regional Medical Center is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $147. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.75x the Medicare baseline. Located in 1499 Fair Road, Statesboro, GA.
Cash / Self-Pay
$147

Average discount available for prompt cash payment at this facility.

Insurance Median
$17

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: $147 (1514%)
Insurance Median: $17 (175%)
Cash: $147 (1514% of Medicare)
Ins. Median: $17 (175% 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
Tricare $8 82%
Blue Cross Blue Shield $9 - $170 93%
Node Champva $9 93%
Caresource Mcr Adv $10 103%
Health Net Va $10 103%
Humana $10 103%
Medicaid / KanCare $10 - $14 103%
Medicare (plans) $10 103%
Node Clover Health Mcr Adv $10 103%
Node Non Par Hospice Agree $10 103%
Node Va $10 103%
UnitedHealthcare $10 - $18 103%
Veterans Eval Services $10 103%
Node Us Dept Of Labor $12 124%
Peach State Hlth Plan Mcaid Ga $14 144%
Ambetter / Centene $17 175%
Caresource Exchange $17 175%
Ga Work Comp $17 175%
Prime Health Work Comp $17 175%
Three Rivers Wc $17 175%
Department Of Health $27 278%
Aetna $34 - $900 350%
Self Pay $128 - $166 1318%
Ibg $166 - $213 1710%
Industry Buying Group $175 1802%
Coventry $270 2781%
Three Rivers Provider Network $284 2925%
First Health $355 3656%
Prime Health Commercial $378 3893%
Novanet $402 4140%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1499 Fair Road, Statesboro, GA 30458
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals