CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: University Hospitals Samaritan Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $96
  • Cash Discount Price: $86
  • vs. Medicare Baseline: 9.89x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at University Hospitals Samaritan Medical Center is $96. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $86. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 9.89x the Medicare baseline. Located in 1025 Center St, Ashland, OH.
Cash / Self-Pay
$86

Average discount available for prompt cash payment at this facility.

Insurance Median
$96

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: $86 (886%)
Insurance Median: $96 (989%)
Cash: $86 (886% of Medicare)
Ins. Median: $96 (989% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 989% of the Medicare baseline (a markup of 889%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $10 - $98 103%
Blue Cross Blue Shield $10 - $103 103%
Cigna $10 - $105 103%
Devoted Health $10 103%
Humana $10 103%
Molina $10 103%
Paramount $10 103%
Perennial Advantage Of Ohio $10 103%
Primetime Health Plan $10 103%
Summacare $10 - $104 103%
The Health Plan $10 - $100 103%
UnitedHealthcare $10 - $105 103%
Valor Health Plans $10 103%
Wellcare By Allwell $10 103%
University Health Employee Plan (Contigo) $14 144%
Ambetter / Centene $17 175%
Caresource $17 175%
Medical Mutual Of Ohio $40 - $113 412%
Amish Aid Community Plan $52 536%
Amish Church Fund And Workers Aid Plan $52 536%
Buckeye Plain Ministries $52 536%
Christian Healthcare Ministries $57 587%
Immergrun $57 587%
Sunrise Plain Communities $57 587%
Medical Mutual Traditional/Health Ohio $80 824%
Beech Street $91 - $103 937%
Ohio Preferred Network $91 - $103 937%
First Health $95 978%
Century Health Network $97 999%
Ohio Health Choice $97 - $103 999%
Private Healthcare System $98 1009%
Aultcare $103 1061%
Clarity $103 1061%
Configurenet $103 1061%
Fortified Provider Network $103 1061%
Healthsmart $103 1061%
Jp Farley $103 1061%
Multiplan $103 1061%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1025 Center St, Ashland, OH 44805
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals