CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Long Island Community Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $10
  • Cash Discount Price: $12
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Long Island Community Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.03x the Medicare baseline. Located in 101 Hospital Road, Patchogue, NY.
Cash / Self-Pay
$12

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: $12 (124%)
Insurance Median: $10 (103%)
Cash: $12 (124% 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
Local 1199 $5 51%
Magellan $6 62%
Multiplan $6 62%
Coventry $7 72%
Oscar Health Exchange $7 72%
Longevity Health $8 82%
Galaxy $9 93%
Aarp $10 103%
Aetna $10 - $24 103%
Agewell $10 103%
Beacon Health Options $10 103%
Blue Cross Blue Shield $10 - $28 103%
Centerlight $10 103%
Cigna $10 103%
Emblem Ghi $10 103%
Fidelis $10 103%
Humana $10 103%
Integra $10 103%
Medicare (plans) $10 103%
UnitedHealthcare $10 - $11 103%
Elderplan Inc. $11 113%
Nexus Nyu $11 - $27,706 113%
Wellcare $11 113%
Empire Mediblue $28 288%
Magnacare $57 - $99 587%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 Hospital Road, Patchogue, NY 11772
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals