CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Dupont Hospital LLC

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $18
  • Cash Discount Price: $15
  • vs. Medicare Baseline: 1.85x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Dupont Hospital LLC is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.85x the Medicare baseline. Located in 2520 E Dupont Rd, Fort Wayne, IN.
Cash / Self-Pay
$15

Average discount available for prompt cash payment at this facility.

Insurance Median
$18

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: $15 (154%)
Insurance Median: $18 (185%)
Cash: $15 (154% of Medicare)
Ins. Median: $18 (185% 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 $4 - $47 41%
Cigna $4 - $64 41%
Lutheran Preferred $4 - $105 41%
Self Pay $4 - $79 41%
Aetna $5 - $78 51%
Physicians Health Plan $5 - $68 51%
UnitedHealthcare $6 - $85 62%
Blue Cross Blue Shield $7 - $16 72%
Encore Ppo $7 - $88 72%
Lutheran Network $7 - $88 72%
Medical Mutual Of Oh $7 - $93 72%
Sagamore $7 - $97 72%
Department Of Veterans Affairs $9 93%
Tricare $9 93%
Caresource $10 103%
Humana $10 103%
In Dept Of Correction $10 103%
Iu Health $10 103%
Managed Health Services $10 - $19 103%
Medicaid / KanCare $10 103%
Medicare (plans) $10 103%
Node Devoted Health Mcr Adv $10 103%
Node Mhs Mcr Adv $10 103%
Node Non Par Hospice Agree $10 103%
Node Pphp Mcr Adv $10 103%
Node Va $10 103%
Prime Health Services $10 - $131 103%
Veterans Eval Services $10 103%
Advantage Health Solutions $11 - $145 113%
Encore Health Network $11 - $158 113%
Frontpath $11 - $140 113%
Allied Benefit Systems $12 - $158 124%
Multiplan $12 - $158 124%
Php Freedom Network $12 - $19 124%
Us Department Of Labor $12 124%
Lutheran Advanced Network $15 154%
Lutheran Preferred Fixed 2 $15 154%
Align In Work Comp $16 165%
Encore Work Comp In $17 175%
In Work Comp $19 196%
Encore Kba Epo $23 237%
Encore Kba Ppo $29 299%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2520 E Dupont Rd, Fort Wayne, IN 46825
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals