CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Atrium Health Cleveland

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $115
  • Cash Discount Price: $137
  • vs. Medicare Baseline: 11.84x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Atrium Health Cleveland is $115. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $137. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 11.84x the Medicare baseline. Located in 201 E Grover St, Shelby, NC.
Cash / Self-Pay
$137

Average discount available for prompt cash payment at this facility.

Insurance Median
$115

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: $137 (1411%)
Insurance Median: $115 (1184%)
Cash: $137 (1411% of Medicare)
Ins. Median: $115 (1184% 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 1184% of the Medicare baseline (a markup of 1084%). 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
Blue Cross Blue Shield $9 - $112 93%
Aetna $10 - $211 103%
Cigna $10 - $219 103%
Humana $10 103%
UnitedHealthcare $10 - $146 103%
Alliance $12 - $46 124%
Amerihealth Caritas $12 - $39 124%
Carolina Complete Health $12 - $39 124%
Healthy Blue $12 - $39 124%
Partners $12 - $38 124%
Trillium $12 - $40 124%
Vaya $12 - $40 124%
Wellcare $12 - $39 124%
Choicecare $13 - $224 134%
Ambetter / Centene $87 - $99 896%
Employers Health Network $121 - $145 1246%
Physician Reach Out $137 1411%
Medcost $153 - $181 1576%
Magellan $164 1689%
Gmmi $178 1833%
Quik Trip $178 1833%
Carolina Behavioral Health $197 - $219 2029%
Healthgram $219 2255%
First Health $232 2389%
Lifesynch Community Choice Care $232 2389%
Private Health Care Systems $246 2533%
Beechstreet $252 2595%
Multiplan $260 2678%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 201 E Grover St, Shelby, NC 28150
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals