CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Elizabethtown Community Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $13
Cash Discount Price: $164
vs. Medicare Baseline: 1.34x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Elizabethtown Community Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $164. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.34x the Medicare baseline. Located in 75 Park Street, Elizabethtown, NY.

Cash / Self-Pay

$164

Average discount available for prompt cash payment at this facility.

Insurance Median

$13

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: $164 (1689%)

Insurance Median: $13 (134%)

Cash: $164 (1689% of Medicare)

Ins. Median: $13 (134% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$5 - $202	51%
Highmark Blueshield	$6 - $219	62%
UnitedHealthcare	$6 - $248	62%
Capital District Physicians' Health Plan	$7 - $221	72%
Fidelis Care	$8 - $102	82%
Mvp	$8 - $210	82%
Humana	$9	93%
Aetna	$10 - $175	103%
Choicecare	$10 - $215	103%
Veterans Affairs Community Care Network	$10 - $102	103%
Martins Point	$11 - $102	113%
Wellpath	$14 - $153	144%
Harvard Pilgrim	$46 - $215	474%
Magnacare	$46 - $215	474%
Coventry	$49 - $229	505%
Multiplan	$52 - $242	536%
Emblem Health	$215	2214%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $164.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 83036.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Elizabethtown Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 83036.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.