CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Northwest Health - Starke

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $10
  • Cash Discount Price: $22
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Northwest Health - Starke is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.03x the Medicare baseline. Located in 102 E Culver Rd, Knox, IN.
Cash / Self-Pay
$22

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $22 (227%)
Insurance Median: $10 (103%)
Cash: $22 (227% of Medicare)
Ins. Median: $10 (103% 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
Lutheran $3 - $39 31%
Self Pay $3 - $79 31%
Medpartners $4 - $48 41%
Physicians Health Plan $4 - $59 41%
Alpha Baking $5 - $65 51%
Php $6 - $86 62%
Blue Cross Blue Shield $7 - $16 72%
Encore $7 - $125 72%
UnitedHealthcare $8 - $102 82%
Aetna $9 - $124 93%
Caresource $9 - $10 93%
Cigna $9 - $119 93%
Coventry First Health $9 - $124 93%
Multiplan Inc $9 - $129 93%
Node Champva $9 93%
Tricare $9 93%
Community Health Alliance $10 - $129 103%
Humana $10 103%
In Dept Of Correction $10 103%
Lutheran Network $10 - $126 103%
Managed Health Services $10 - $19 103%
Medicaid / KanCare $10 103%
Medicare (plans) $10 103%
Mhs $10 103%
Node Devoted Health Mcr Adv $10 103%
Node Hospice Non Par Agree $10 103%
Node Pphp Mcr Adv $10 103%
Node Va $10 103%
Ppom $10 - $135 103%
Sagamore Health Network $10 - $126 103%
Us Department Of Labor $12 124%
Indiana Workers Comp $19 196%
Encore Kba Epo $23 237%
Magnacare Ma $23 237%
Encore Kba Ppo $29 299%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 102 E Culver Rd, Knox, IN 46534
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals