CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Albany Medical Center Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $11
  • Cash Discount Price: $10
  • vs. Medicare Baseline: 1.13x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Albany Medical Center Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.13x the Medicare baseline. Located in 43 New Scotland Avenue, Mail Code 34, Albany, NY.
Cash / Self-Pay
$10

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $10 (103%)
Insurance Median: $11 (113%)
Cash: $10 (103% of Medicare)
Ins. Median: $11 (113% 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
Fidelis $2 - $143 21%
Magnacare $3 - $190 31%
Multiplan $3 - $202 31%
UnitedHealthcare $3 - $190 31%
Aetna $4 - $23 41%
Blue Cross Blue Shield $4 - $44 41%
Blue Shield $4 - $25 41%
Empire Plan Nyship $4 - $44 41%
Blue Shield Highmark $5 - $20 51%
Cdphp $7 - $44 72%
Mvp $7 - $20 72%
Cigna $10 103%
Emblem Health Ghi $10 - $18 103%
Hamaspik $10 - $46 103%
Medicaid / KanCare $10 103%
Medicare (plans) $10 103%
Mvp Commercial $10 103%
Nascentia Health Options $10 103%
Emblem $11 - $44 113%
Nascentia $11 113%
Tricare $11 113%
Emblem_Ghi $18 - $44 185%
Mvp Essential Plan $42 433%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 43 New Scotland Avenue, Mail Code 34, Albany, NY 12208
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals