CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Rush Memorial Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $44
Cash Discount Price: $83
vs. Medicare Baseline: 4.53x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Rush Memorial Hospital is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $83. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 4.53x the Medicare baseline. Located in 1300 N Main St, Rushville, IN.

Cash / Self-Pay

$83

Average discount available for prompt cash payment at this facility.

Insurance Median

$44

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: $83 (855%)

Insurance Median: $44 (453%)

Cash: $83 (855% of Medicare)

Ins. Median: $44 (453% 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 453% of the Medicare baseline (a markup of 353%). 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
Health Net	$9 - $56	93%
Aetna	$10 - $174	103%
Blue Cross Blue Shield	$10 - $138	103%
Caresource Mcr Adv	$10 - $59	103%
Humana	$10 - $174	103%
My True Advantage - All Plans	$10 - $59	103%
Today'S Option Mcr Adv-All Plans	$10 - $60	103%
UnitedHealthcare	$10 - $151	103%
Viant Beech St Mcr Adv	$10 - $60	103%
Caresource Marketplace-All Other Plans	$16 - $94	165%
Cigna	$26 - $151	268%
Phcs-All Plans	$26 - $151	268%
Consumers Life Ins-All Plans	$29 - $170	299%
Coventry/First Health-All Plans	$29 - $170	299%
Community Health Alliance-All Plans	$30 - $178	309%
Multiplan-All Plans	$30 - $176	309%
Sagamore-All Plans	$30 - $174	309%
Siho-All Plans	$30 - $174	309%
Encore Health Services-All Plans	$32 - $185	330%

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 $83.
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 Rush Memorial 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.