CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Doctors Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $10
  • Cash Discount Price: $243
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Doctors Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $243. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.03x the Medicare baseline. Located in 3651 Wheeler Road, Augusta, GA.
Cash / Self-Pay
$243

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%)
Cash / Self-Pay: $243 (2503%)
Insurance Median: $10 (103%)
Cash: $243 (2503% of Medicare)
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

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
Humana $8 - $10 82%
Aetna $9 - $134 93%
Blue Cross Blue Shield $9 - $11 93%
Health Net $9 93%
Absolute Total Care $10 - $44 103%
Caresource $10 103%
Clover $10 103%
Coventry $10 103%
Devoted Health $10 103%
Eon Health $10 103%
Friday Health $10 103%
Georgia Assurance $10 103%
Healthspring $10 103%
Regency Hospice $10 103%
Shared Health $10 103%
St Joseph Hospice $10 103%
United $10 - $109 103%
Wellcare $10 - $49 103%
Health One Alliance $12 124%
Qtc Medical Group $12 124%
Ambetter / Centene $13 134%
Blue Choice $13 134%
Dept Of Community Health $15 154%
Amerigroup $34 350%
Nhc Advantage $46 474%
Pruitt Health $46 474%
Peach State $49 505%
Centurion $67 690%
Americas 1St Choice $68 700%
Medcost $122 - $155 1256%
Kaiser Permanente $133 1370%
Multiplan $146 - $218 1504%
Performax $165 1699%
First Health $182 1874%
Employer'S Health Network $194 1998%
Novanet $218 2245%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3651 Wheeler Road, Augusta, GA 30909
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals