CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Perry County Memorial Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $34
  • Cash Discount Price: $92
  • vs. Medicare Baseline: 3.50x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Perry County Memorial Hospital is $34. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $92. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 3.50x the Medicare baseline. Located in 8885 Sr 237, Tell City, IN.
Cash / Self-Pay
$92

Average discount available for prompt cash payment at this facility.

Insurance Median
$34

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: $92 (947%)
Insurance Median: $34 (350%)
Cash: $92 (947% of Medicare)
Ins. Median: $34 (350% 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 350% of the Medicare baseline (a markup of 250%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Bc 130 $7 - $105 72%
Group Insurance $7 - $132 72%
Nsa $7 - $81 72%
Medicaid / KanCare $10 - $132 103%
Medicare (plans) $10 - $34 103%
Veterans Administration $10 - $132 103%
Workers Compensation $66 680%
Guarantor Liable $92 - $132 947%
Pcmh Insurnace $103 - $132 1061%
Secondary Insurance $105 1081%
UnitedHealthcare $105 1081%
Operating Engineers $112 1153%
Boilermakers Healthcare $115 1184%
Cigna $115 1184%
Great West $115 - $132 1184%
Sagxxxx $115 1184%
Champus $132 1359%
Ngs American, Inc $132 1359%
Patoka Valley $132 1359%
Southwire $132 1359%
Tricare $132 1359%
Wausau Benefits $132 1359%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8885 Sr 237, Tell City, IN 47586
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals