CMS Price Transparency Data
Blood test, average blood sugar (A1c)
Facility: Claiborne Memorial Medical Center
Billing Code: 83036 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 83036
- Insurance Median: $36
- Cash Discount Price: $48
- vs. Medicare Baseline: 3.71x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Claiborne Memorial Medical Center is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $48. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 3.71x the Medicare baseline. Located in 620 East College Street, Homer, LA.
Cash / Self-Pay
$48
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: $48 (494%)
Insurance Median: $36 (371%)
Cash: $48 (494% 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $10 - $39 | 103% |
| Amerihealth Caritas La | $10 - $26 | 103% |
| Arcadian Community Mcr Hm | $10 | 103% |
| Blue Cross Blue Shield | $10 - $53 | 103% |
| Champus | $10 | 103% |
| Champva | $10 | 103% |
| Cigna | $10 - $45 | 103% |
| Community Health Solution | $10 - $26 | 103% |
| Correctcare Intergrated | $10 - $26 | 103% |
| Healthy Blue | $10 - $26 | 103% |
| Healthy Blue Dual Adv | $10 | 103% |
| Humana | $10 - $60 | 103% |
| Kaiser Foundation Health | $10 | 103% |
| Louisiana Hc Connections | $10 - $26 | 103% |
| Magellan Services | $10 - $26 | 103% |
| Medicaid / KanCare | $10 - $26 | 103% |
| Medicare (plans) | $10 | 103% |
| Peoples Health Network | $10 | 103% |
| Pyramid Claims Mcr Hmo | $10 | 103% |
| Sterling Connect 2 | $10 | 103% |
| Sterling Premier Mc Hmo | $10 | 103% |
| Superior Health Mcr Hmo | $10 | 103% |
| Tenet Mcr Hmo | $10 | 103% |
| Tricare | $10 | 103% |
| United Hc Mcr Hmo | $10 | 103% |
| UnitedHealthcare | $10 - $26 | 103% |
| Universal Hc Mcr Hmo | $10 | 103% |
| Us Dept Of Labor | $10 | 103% |
| Vantage Health Mcr Hmo | $10 | 103% |
| Windsor Sterling Mcr Hmo | $10 | 103% |
| Wps Mvh Vapc3 | $10 | 103% |
| All Savers | $12 | 124% |
| Golden Rule Ins Co | $12 | 124% |
| United Behavioral Health | $12 | 124% |
| Vantage Health Plan Inc | $13 | 134% |
| Ambetter / Centene | $14 | 144% |
| Commercial Insurance | $14 - $60 | 144% |
| Meritain Health | $14 - $39 | 144% |
| Coventry Healthcare | $22 - $36 | 227% |
| Geha | $25 - $42 | 257% |
| Health Plus Of La | $25 - $45 | 257% |
| Apwu Healthplan | $27 - $45 | 278% |
| Great West Healthcare | $27 - $45 | 278% |
| Sedgwick Claims Mgmt Serv | $28 - $54 | 288% |
| Workman'S Comp | $28 - $54 | 288% |
| Phcs | $29 - $48 | 299% |
| Ppo Plus | $29 - $48 | 299% |
| Aarp | $36 - $60 | 371% |
| Accordia National | $36 - $60 | 371% |
| Aflac | $36 - $60 | 371% |
| Alameda Alliance Forhealt | $36 - $60 | 371% |
| American Pioneer | $36 - $60 | 371% |
| Benefit Management | $36 - $60 | 371% |
| Benesys Inc | $36 - $60 | 371% |
| Business Guarantor | $36 - $60 | 371% |
| Chubb | $36 - $60 | 371% |
| Commercial Sr. Care | $36 - $60 | 371% |
| Employee Benefit Services | $36 - $60 | 371% |
| Family Life Insurance Co | $36 - $60 | 371% |
| Farm Bureau Insurance | $36 - $60 | 371% |
| Fiserv Health Benefit | $36 - $60 | 371% |
| Gmp | $36 - $60 | 371% |
| Group And Pension Admin | $36 - $60 | 371% |
| Group Resources | $36 - $60 | 371% |
| Haik Minvielle And Grubbs | $36 - $60 | 371% |
| Harrington Benefit Svs | $36 - $60 | 371% |
| Health Design Plus | $36 - $60 | 371% |
| Health Plan | $36 - $60 | 371% |
| Healthscope Benefits | $36 - $60 | 371% |
| Insurance Management Admi | $36 - $60 | 371% |
| Jefferson National | $36 - $60 | 371% |
| John Alden Health Ins | $36 - $60 | 371% |
| John Hancock | $36 - $60 | 371% |
| Liberty Mutual | $36 - $60 | 371% |
| Mailhandlers Benefit Plan | $36 - $60 | 371% |
| Manhattan Life Ins Co | $36 - $60 | 371% |
| Mega Life And Health | $36 - $60 | 371% |
| Msa Careguard | $36 - $60 | 371% |
| Mutual Of Omaha | $36 - $60 | 371% |
| Nalc Health Benefit Plan | $36 - $60 | 371% |
| Naphcare Inc. | $36 - $60 | 371% |
| New Era Life Ins Co | $36 - $60 | 371% |
| Physicians Mutual | $36 - $60 | 371% |
| Principal Financial Group | $36 - $60 | 371% |
| Prudential Healthcare | $36 - $60 | 371% |
| Self Pay | $36 - $60 | 371% |
| State Farm | $36 - $60 | 371% |
| State Farm Insurance | $36 - $60 | 371% |
| State Mutual Insurance Co | $36 - $60 | 371% |
| Sterling Investors Life | $36 - $60 | 371% |
| Tower Life | $36 - $60 | 371% |
| Transamerica Premier Ins | $36 - $60 | 371% |
| United American | $36 - $60 | 371% |
| United Comm Travelers | $36 - $60 | 371% |
| United Teachers | $36 - $60 | 371% |
| Usable Administrator | $36 - $60 | 371% |
| Visn 16 Cfu | $36 - $60 | 371% |
| Wausau Benefits | $36 - $60 | 371% |
| Webtpa | $36 - $60 | 371% |
| Wells Fargo | $36 - $60 | 371% |
| Woodmen Of The World | $36 - $60 | 371% |