CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Memorial Mission Hospital and Asheville Surgery Ce

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $15
  • Cash Discount Price: $45
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Memorial Mission Hospital and Asheville Surgery Ce is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $45. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.54x the Medicare baseline. Located in 509 Biltmore Ave, Asheville, NC.
Cash / Self-Pay
$45

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $45 (463%)
Insurance Median: $15 (154%)
Cash: $45 (463% of Medicare)
Ins. Median: $15 (154% 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 Cross Blue Shield $8 82%
United $8 - $27 82%
Wellcare $8 - $10 82%
Apex Health $9 93%
Partners Health Management $9 93%
Vaya Health $9 93%
Aetna $10 - $33 103%
Alignment Health $10 103%
Ambetter / Centene $10 103%
Cigna $10 - $23 103%
Humana $10 103%
Provider Partners Health Plan $10 103%
Pruitthealth Premier $10 103%
Troy Healthcare $10 103%
United Behavioral Health $10 103%
Amerihealth Caritas $11 - $14 113%
Healthteam Advantage $11 113%
Longevity Health Plan $12 124%
Oscar $12 124%
Amerihealth $13 134%
Caresource $20 206%
Medcost $25 - $39 257%
Magellan $27 278%
Magellan Behavioral Health $27 278%
Multiplan $36 - $37 371%
Avalon Administrative Services $38 - $39 391%
Prime Health $39 - $41 402%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 509 Biltmore Ave, Asheville, NC 28801
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals