CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Greene County Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $86
  • Cash Discount Price: $50
  • vs. Medicare Baseline: 8.86x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Greene County Medical Center is $86. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 8.86x the Medicare baseline. Located in 1000 West Lincoln Way, Jefferson, IA.
Cash / Self-Pay
$50

Average discount available for prompt cash payment at this facility.

Insurance Median
$86

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: $50 (515%)
Insurance Median: $86 (886%)
Cash: $50 (515% of Medicare)
Ins. Median: $86 (886% 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 886% of the Medicare baseline (a markup of 786%). 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
Ambetter / Centene $46 - $89 474%
Health Alliance $46 - $89 474%
Healthpartners $46 - $89 474%
Molina $46 - $89 474%
Wellcare $46 - $89 474%
Wellmark $55 - $89 566%
Humana $85 - $89 875%
Midlands Choice $86 886%
Aetna $89 917%
Iowa Total Care $89 917%
UnitedHealthcare $89 917%
Wellpoint $89 917%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 West Lincoln Way, Jefferson, IA 50129
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals