CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Highland Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $10
  • Cash Discount Price: $30
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Highland Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $30. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.03x the Medicare baseline. Located in 1000 South Avenue, Rochester, NY.
Cash / Self-Pay
$30

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: $30 (309%)
Insurance Median: $10 (103%)
Cash: $30 (309% 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
Highmark Bc/Bs Of Western Ny [5143] $6 62%
Medicare (plans) $6 - $15 62%
UnitedHealthcare $6 - $16 62%
Cigna $7 - $9 72%
Medicaid / KanCare $7 - $22 72%
Mvp [2900] $7 - $14 72%
Excellus Bc/Bs [2201], Bc/Bs Out Of Area [2401] $8 - $33 82%
Independent Health [5156] $8 - $15 82%
Amerigroup (Bswny Alternate) [1720] $9 93%
Excellus [2201] $9 - $11 93%
Aetna $10 - $16 103%
Capital District Physicians Health Plan (Cdphp) [5149] $10 103%
Elderplan [1316] $10 103%
Excellus Bc/Bs [2201] $10 - $18 103%
Fidelis [5155] $10 - $22 103%
Icircle [1728] $10 103%
Martins Point [1205] $10 103%
Nascentia [1729] $10 103%
Humana $11 - $12 113%
Molina Healthcare [5189], Molina Healthcare [1723] $12 - $22 124%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 South Avenue, Rochester, NY 14617
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals