CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Warner Hospital and Health Services

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $137
Cash Discount Price: $168
vs. Medicare Baseline: 14.11x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Warner Hospital and Health Services is $137. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $168. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 14.11x the Medicare baseline. Located in 422 W White St, Clinton, IL.

Cash / Self-Pay

$168

Average discount available for prompt cash payment at this facility.

Insurance Median

$137

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: $168 (1730%)

Insurance Median: $137 (1411%)

Cash: $168 (1730% of Medicare)

Ins. Median: $137 (1411% 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 1411% of the Medicare baseline (a markup of 1311%). 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
Aetna	$17 - $146	175%
Blue Cross Blue Shield	$17 - $168	175%
Harmony Hp Mcaid-All Plans	$17	175%
Medicaid / KanCare	$17	175%
Meridian Hp-All Plans	$17	175%
Molina-All Other Plans	$17	175%
Health Alliance Med Adv	$67 - $70	690%
Humana	$67 - $146	690%
Molina Mcr/Mcd Dual	$67 - $70	690%
UnitedHealthcare	$67 - $146	690%
Wellcare Mcr Adv-All Plans	$67 - $70	690%
Healthlink Hmo	$128 - $134	1318%
City Of Clinton (Employees Serv)-All Plans	$131 - $137	1349%
Cigna	$136 - $142	1401%
Caterpillar-All Plans	$140 - $146	1442%
Multiplan Phcs-All Plans	$140 - $146	1442%
Health Alliance-All Other Plans	$145 - $151	1493%
Healthlink Ppo/Work Comp-All Other Plans	$145 - $151	1493%
Consociate Care Ppo-All Plans	$148 - $154	1524%
Hfn Ppo/Epo-All Plans	$148 - $154	1524%
Three Rivers-All Plans	$156 - $163	1607%

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 $168.
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 Warner Hospital and Health Services 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.