CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Pulaski Memorial Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $64
Cash Discount Price: $123
vs. Medicare Baseline: 6.59x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Pulaski Memorial Hospital is $64. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $123. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 6.59x the Medicare baseline. Located in 616 E 13Th St, Winamac, IN.

Cash / Self-Pay

$123

Average discount available for prompt cash payment at this facility.

Insurance Median

$64

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: $123 (1267%)

Insurance Median: $64 (659%)

Cash: $123 (1267% of Medicare)

Ins. Median: $64 (659% 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 659% of the Medicare baseline (a markup of 559%). 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 - $118	103%
Caresource Mcaid Hhw	$10	103%
Cenpatico Mcaid Hhw - All Other Plans	$10	103%
Mdwise Mcaid Hcc	$10	103%
Mdwise Mcaid Hhw	$10	103%
Mhs Mcaid Hhw/Hcc	$10	103%
UnitedHealthcare	$10 - $141	103%
Ambetter / Centene	$54 - $55	556%
Caresource Mcaid Hip	$54 - $55	556%
Caresource Mcare Hmo	$54 - $55	556%
Cenpatico Mcaid Hip	$54 - $55	556%
Humana	$54 - $143	556%
Mdwise Mcaid Hip - All Other Plans	$54 - $55	556%
Mhs Mcaid Hip	$54 - $55	556%
Mhs Mcare Allwell	$54 - $56	556%
Aetna	$62 - $64	639%
Caresource Exch Hmo Hix - All Other Plans	$67 - $69	690%
Sagamore Rose Acre	$129 - $133	1329%
Sagamore - All Other Plans	$131 - $135	1349%
Encore Ppo - All Other Plans	$147 - $151	1514%
Community Health Alliance - All Plans	$154 - $158	1586%
Encore Workers Comp	$156 - $160	1607%
Multiplan - All Plans	$156 - $160	1607%
Cigna	$164 - $169	1689%

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 $123.
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 Pulaski 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.