CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Kosciusko Community Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $15
  • Cash Discount Price: $13
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Kosciusko Community Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.54x the Medicare baseline. Located in 2101 E Dubois Dr, Warsaw, IN.
Cash / Self-Pay
$13

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: $13 (134%)
Insurance Median: $15 (154%)
Cash: $13 (134% 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
Amish Aid $2 - $47 21%
Self Pay $2 - $87 21%
Aetna $3 - $119 31%
Encore $3 - $90 31%
Lutheran Preferred Network $3 - $179 31%
Php Freedom Network $3 - $87 31%
Physicians Health Plan $3 - $103 31%
Trma Inc $3 - $101 31%
UnitedHealthcare $3 - $118 31%
Cigna $5 - $142 51%
Connecticut General Life Insurance Company $5 - $132 51%
First Health Network $6 - $168 62%
Prime Health Services $6 - $168 62%
Tricare $6 - $9 62%
Advantage Health $7 - $186 72%
Blue Cross Blue Shield $7 - $16 72%
Encore Health Network $7 - $208 72%
Private Healthcare Systems $7 - $193 72%
Sagamore $7 - $211 72%
Department Of Veterans Affairs $8 - $9 82%
Humana $8 - $10 82%
In Dept Of Correction $8 - $10 82%
Iu Health $8 - $10 82%
Medicare (plans) $8 - $10 82%
Mhs $8 - $10 82%
Node Devoted Health Mcr Adv $8 - $10 82%
Node Non Par Hospice Agree $8 - $10 82%
Node Pphp Mcr Adv $8 - $10 82%
Node Va $8 - $10 82%
Veterans Eval Services $8 - $10 82%
Caresource $9 - $10 93%
Managed Health Services $10 103%
Medicaid / KanCare $10 103%
Us Department Of Labor $10 - $12 103%
Lutheran Advanced Network $12 - $15 124%
Lutheran Preferred $12 - $19 124%
Align In Work Comp $13 - $16 134%
One Call Work Comp $13 - $16 134%
Encore Work Comp In $14 - $17 144%
Managed Health Services Exchange $16 - $19 165%
Workers Comp $16 - $19 165%
Encore Kba Epo $19 - $23 196%
Encore Kba Ppo $24 - $29 247%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2101 E Dubois Dr, Warsaw, IN 46580
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals