CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Montefiore St Luke's Cornwall

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $15
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Montefiore St Luke's Cornwall is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.54x the Medicare baseline. Located in 70 Dubois Street, Newburgh, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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%)
Insurance Median: $15 (154%)
Ins. Median: $15 (154% 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 $8 - $11 82%
Mediblue $9 93%
Aetna $10 - $15 103%
Blue Cross Blue Shield $10 - $224 103%
Cdphp $10 103%
Centerlight $10 103%
Emblem $10 - $227 103%
Hudson Valley $10 103%
Medicaid / KanCare $10 103%
Oscar $10 103%
Point Comfort $10 103%
UnitedHealthcare $10 - $12 103%
Humana $11 113%
American Postal Workers $12 124%
Mvp $14 144%
Geha $15 154%
Meritain Health $15 154%
Nippon Life Insurance $15 154%
Healthfirst $17 175%
Northwell $26 268%
Cigna $95 - $105 978%
Centivo $179 1843%
Seiu1199 $213 2194%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 70 Dubois Street, Newburgh, NY 12550
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals