CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Methodist Hospitals Inc

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $15
  • Cash Discount Price: $249
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Methodist Hospitals Inc is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $249. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.54x the Medicare baseline. Located in 600 Grant St, Gary, IN.
Cash / Self-Pay
$249

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $249 (2564%)
Insurance Median: $15 (154%)
Cash: $249 (2564% of Medicare)
Ins. Median: $15 (154% 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
Aetna $10 - $263 103%
Blue Cross Blue Shield $10 - $313 103%
Caresource $10 103%
Humana $10 103%
Managed Health Services $10 103%
Medicaid / KanCare $10 103%
Medicare (plans) $10 103%
United Heathcare $10 103%
UnitedHealthcare $10 - $15 103%
Zing $10 103%
Caresource Maketplace $16 165%
Ambetter / Centene $19 196%
Magnacare $26 268%
Physicians Health Plan Of Northern Indiana $29 299%
Cigna $136 - $148 1401%
Encore $213 - $316 2194%
Phcs $241 2482%
Siho $248 2554%
Sagamore $256 2636%
Multiplan $259 2667%
Hfn $277 - $302 2853%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Grant St, Gary, IN 46402
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals