CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Athur M Blank Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $229
Cash Discount Price: $330
vs. Medicare Baseline: 23.58x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Athur M Blank Hospital is $229. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $330. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 23.58x the Medicare baseline. Located in 2220 North Druid Hills Road Ne, Atlanta, GA.

Cash / Self-Pay

$330

Average discount available for prompt cash payment at this facility.

Insurance Median

$229

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: $330 (3399%)

Insurance Median: $229 (2358%)

Cash: $330 (3399% of Medicare)

Ins. Median: $229 (2358% 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 2358% of the Medicare baseline (a markup of 2258%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Caresource [61]	$14	144%
Peachstate [43]	$14	144%
Amerigroup [102]	$16	165%
Blue Cross Blue Shield	$214 - $329	2204%
Cigna	$214 - $223	2204%
United [5]	$214 - $224	2204%
Ambetter / Centene	$216 - $226	2225%
Oscar [228]	$216 - $226	2225%
Aetna	$217 - $227	2235%
Caresource Marketplace Bronze/Silver/Gold [60]	$219 - $229	2255%
Kaiser [6]	$220 - $229	2266%
Sidecar Health [236]	$223 - $233	2297%
Direct Employer Agreements [72]	$226 - $286	2327%
Coventry [9]	$227 - $237	2338%
First Health [74]	$242 - $253	2492%
Northeast Georgia Heatlh System [808]	$242 - $253	2492%
Veracity Benefits [809]	$242 - $253	2492%
Phcs [93]	$275 - $286	2832%
Secure Health [340]	$275 - $286	2832%
Beech Street [71]	$291 - $303	2997%
Multiplan [92]	$317 - $330	3265%
Novanet [41]	$323 - $337	3326%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $330.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 83036.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Athur M Blank Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 83036.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.