CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Jacksonville Memorial Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $137
Cash Discount Price: $239
vs. Medicare Baseline: 14.11x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Jacksonville Memorial Hospital is $137. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $239. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 14.11x the Medicare baseline. Located in 1600 W Walnut St, Jacksonville, IL.

Cash / Self-Pay

$239

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: $239 (2461%)

Insurance Median: $137 (1411%)

Cash: $239 (2461% 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
Blue Cross Blue Shield	$9 - $239	93%
Medicaid / KanCare	$9	93%
Molina Healthcare	$9	93%
Tricare	$9 - $44	93%
Coventry	$10 - $37	103%
Health Alliance	$10 - $163	103%
Humana	$10 - $204	103%
Medicare (plans)	$10 - $37	103%
UnitedHealthcare	$10 - $172	103%
Corvel/Corcare	$46 - $60	474%
Illinois Workers Compensation	$50 - $83	515%
Commercial Workers Compensation	$79	814%
Health Alliance Mh Employee Plan	$110	1133%
Current Health Network	$131 - $179	1349%
6 Degrees Health	$143	1473%
Hope Trust	$143	1473%
Hst	$143	1473%
Cigna	$166	1710%
Aetna	$167 - $191	1720%
Healthlink	$203	2091%
Phcs/Multiplan	$215	2214%
Hfn	$227	2338%
Liability	$239	2461%

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 $239.
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 Jacksonville Memorial 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.