CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Unity Physicians Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $23,443
Cash Discount Price: Unavailable
vs. Medicare Baseline: 2414.32x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Unity Physicians Hospital is $23,443. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 2414.32x the Medicare baseline. Located in 4455 Edison Lakes Pkwy, Mishawaka, IN.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$23,443

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%)

Insurance Median: $23,443 (241432%)

Ins. Median: $23,443 (241432% 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 241432% of the Medicare baseline (a markup of 241332%). 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	$10 - $36,377	103%
Medicaid / KanCare	$10	103%
Mhs Hoosier Care Connect	$10	103%
Nalc	$10 - $49,159	103%
Sagamore Health Network	$10 - $49,159	103%
Multiplan	$11	113%
Multiplan Wc	$13	134%
Aarp Supplemental	$23,443	241432%
Aetna	$23,443	241432%
Cigna	$23,443	241432%
Department Of Va	$23,443	241432%
Medicare (plans)	$23,443	241432%
Mhs Healthy Indiana Plan	$23,443	241432%
Railroad Retirement	$23,443	241432%
UnitedHealthcare	$23,443 - $49,159	241432%
Three Rivers Provider Network	$28,131	289712%
Humana	$35,000	360453%
Encore	$42,197	434573%
Provider Network Of America	$46,886	482863%
All Savers	$49,159	506272%
Medica	$49,159	506272%
Medica Ifb	$49,159	506272%
Oxford	$49,159	506272%

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 $X.
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 Unity Physicians 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.