CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Caromont Regional Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $16
  • Cash Discount Price: $120
  • vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Caromont Regional Medical Center is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $120. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.65x the Medicare baseline. Located in 2525 Court Dr, Gastonia, NC.
Cash / Self-Pay
$120

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $120 (1236%)
Insurance Median: $16 (165%)
Cash: $120 (1236% of Medicare)
Ins. Median: $16 (165% 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
Avalon $6 62%
Humana $6 - $106 62%
UnitedHealthcare $6 - $26 62%
Aetna $10 - $44 103%
Blue Cross Blue Shield $10 - $40 103%
Devoted Health $10 103%
Healthteam $10 103%
Longevity Health $10 103%
Molina $10 - $11 103%
Absolute Total Care $11 113%
Corporate Benefits Service $11 113%
Alliance Behavioral Health $16 165%
Amerihealth Caritas $16 165%
Carolina Complete Health $16 165%
Carolina Complete Health Tailored Plans $16 165%
Partners Behavioral Health $16 165%
Vaya Behavioral Health $16 165%
Wellcare $16 165%
Surgery Plus $17 175%
Cigna $18 - $30 185%
Carolina Caring $24 - $95 247%
Gaston County Jail $32 330%
Medcost $46 474%
Beech Street $98 1009%
Multiplan $98 1009%
Self Pay $108 1112%
First Health Network $114 1174%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2525 Court Dr, Gastonia, NC 28052
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals