CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Ascension Providence Hospital, Southfield and Novi

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $10
  • Cash Discount Price: $30
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Ascension Providence Hospital, Southfield and Novi is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $30. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.03x the Medicare baseline. Located in 16001 W Nine Mile Rd, Southfield, MI.
Cash / Self-Pay
$30

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $30 (309%)
Insurance Median: $10 (103%)
Cash: $30 (309% of Medicare)
Ins. Median: $10 (103% 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.

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
Blue Caid Michigan $6 62%
Harbor Health Mcd $6 62%
Medicaid / KanCare $6 - $10 62%
Molina Health $6 62%
Total Health Care $6 62%
UnitedHealthcare $6 62%
Smarthealth Non Assigned $7 72%
Amerihealth Vip Care Mcr $8 - $10 82%
Bc Metro Detroit Epo $9 93%
Bc Metro Detroit Hmo $9 93%
Bcn Local Network Southeast $9 93%
Blue Care Network $9 93%
Blue Cross Blue Shield $9 93%
Aetna $10 - $12 103%
Auto Insurance $10 103%
Humana $10 103%
Jvhl - Mcr Replacement $10 103%
Mcr Replacement $10 103%
Meridian Wellcare $10 103%
Molina Advantage $10 103%
Veterans Choice $10 103%
Ambetter / Centene $12 124%
Molina Marketplace $12 124%
Priority Ppo $13 134%
Smart Health $13 134%
Hap Alliance Health $15 154%
Hap Hmo Pos $15 154%
Priority Health Hmo $16 165%
Hap Preferred $17 175%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 16001 W Nine Mile Rd, Southfield, MI 48075
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals