CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Columbia Memorial Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $10
  • Cash Discount Price: $21
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Columbia Memorial Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.03x the Medicare baseline. Located in 71 Prospect Avenue, Hudson, NY.
Cash / Self-Pay
$21

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: $21 (216%)
Insurance Median: $10 (103%)
Cash: $21 (216% 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
UnitedHealthcare $4 - $12 41%
Blue Shield Highmark $6 62%
Cdphp $7 - $44 72%
Aetna $10 - $21 103%
Blue Cross Blue Shield $10 - $36 103%
Cigna $10 - $12 103%
Emblem Health Ghi $10 103%
Fidelis $10 - $44 103%
Hamaspik $10 - $27 103%
Medicaid / KanCare $10 - $20 103%
Medicare (plans) $10 103%
Mvp $10 - $41 103%
Emblem $11 - $25 113%
Tricare $11 113%
Empire Plan Nyship $13 - $35 134%
Magnacare $14 - $32 144%
Blue Shield $17 - $33 175%
Mvp Commercial $22 - $92 227%
Multiplan $27 - $111 278%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 71 Prospect Avenue, Hudson, NY 12534
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals