CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Northern Louisiana Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $36
  • Cash Discount Price: $28
  • vs. Medicare Baseline: 3.71x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Northern Louisiana Medical Center is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 3.71x the Medicare baseline. Located in 401 East Vaughn Avenue, Ruston, LA.
Cash / Self-Pay
$28

Average discount available for prompt cash payment at this facility.

Insurance Median
$36

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: $28 (288%)
Insurance Median: $36 (371%)
Cash: $28 (288% of Medicare)
Ins. Median: $36 (371% 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 371% of the Medicare baseline (a markup of 271%). 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
UnitedHealthcare $4 - $31 41%
Aetna $7 - $31 72%
Blue Cross Blue Shield $7 - $20 72%
Medicaid / KanCare $7 - $51 72%
Champus $8 82%
Champva $8 82%
Golden Rule Ins $8 - $31 82%
Humana $8 - $11 82%
Tricare $8 - $10 82%
Gulf South Services $10 103%
Medicare (plans) $10 103%
Mutual Of Omaha $10 103%
Va $10 103%
Vantage Advantage $10 103%
Veterans Evaluation Svcs $10 103%
Vantage Health Plan Ppaca $18 185%
Vantage Health Plan $19 196%
First Health $20 - $43 206%
Verity Healthnet $25 257%
Cigna $26 268%
Kaiser Permanente $26 268%
Gilsbar $28 288%
Self Pay $28 288%
Geha $41 - $48 422%
Multiplan $43 443%
Phcs $43 443%
Work Comp City Of Ruston $46 474%
Work Comp First Health $46 474%
Work Comp Nlmc Emp $46 474%
Workers Compensation $46 474%
Aarp $51 525%
Aflc American Family Life $51 525%
American Life Accident $51 525%
Apwu Health Plan $51 525%
Bankers Life And Casualty $51 525%
Benefit Trust Life $51 525%
Crime Victims Compensatio $51 525%
Equitable $51 525%
Fox Everett Inc $51 525%
Gmp Employers Retiree Tru $51 525%
Gsu Athletics $51 525%
Guarantee Trust Life Ins $51 525%
Healthfirst Tpa $51 525%
Hospice Of Caring Hearts $51 525%
Ima Insurance $51 525%
Industrial Accounts $51 525%
Liberty Healthshare $51 525%
Liberty Mutual Group $51 525%
Lifecare Specialty Hosp $51 525%
Lin Parish Detention $51 525%
Lincoln Kidney Center $51 525%
Ltu Athletics $51 525%
Ltu Student Ins Bollinger $51 525%
Mcr American Hlth Adv $51 525%
Misc Commercial $51 525%
Mva Insurance Payors $51 525%
Nalc Health Benefit Plan $51 525%
Nalc Natl Assoc Ltr Carri $51 525%
Newera $51 525%
Nlmc Community Services $51 525%
Physicians Mutual Ins $51 525%
Premier Hospice $51 525%
Principal Mutual Life Ins $51 525%
Protective Life Ins $51 525%
Ruston Regional Specialty $51 525%
Specialty Hosp Of Winnfie $51 525%
State Farm Insurance $51 525%
State Mutual Ins $51 525%
Sterling Investors Life $51 525%
The Hartford $51 525%
Union Bankers Insurance C $51 525%
Union Fidelity Life Ins $51 525%
United American $51 525%
United Teachers Ins $51 525%
Us Dept Of Labor $51 525%
Washington National Ins $51 525%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 East Vaughn Avenue, Ruston, LA 71270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals