CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Ohio Valley Surgical Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $137
  • Cash Discount Price: $82
  • vs. Medicare Baseline: 14.11x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Ohio Valley Surgical Hospital is $137. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $82. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 14.11x the Medicare baseline. Located in 100 West Main Street, Springfield, OH.
Cash / Self-Pay
$82

Average discount available for prompt cash payment at this facility.

Insurance Median
$137

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: $82 (844%)
Insurance Median: $137 (1411%)
Cash: $82 (844% of Medicare)
Ins. Median: $137 (1411% 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 1411% of the Medicare baseline (a markup of 1311%). 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
UnitedHealthcare $12 - $34,088 124%
Aetna $14 - $41,161 144%
Geha $14 - $41,161 144%
Genworth $14 - $41,161 144%
Mail Handlers $14 - $41,161 144%
Meritain $14 - $41,161 144%
Meritain Heatlh $14 - $41,161 144%
Mhbp $14 - $41,161 144%
Ngs Coresource $14 - $41,161 144%
Nippon Life $14 - $41,161 144%
Pacific Source $14 - $41,161 144%
Personify Health $14 - $41,161 144%
Blue Cross Blue Shield $23 - $135 237%
Mmoh $62 - $86 639%
Mmo Cin. Hmo $63 - $86 649%
Mmoh (Supermed) $63 - $64 649%
Medicare (plans) $68 - $137 700%
Molina $68 700%
Molina Marketplace $68 700%
Molina Mcr $68 700%
Self Pay Imaging $68 700%
Luminare Health $123 1267%
Medben $123 1267%
Ohio Health $123 1267%
Preferred Health $123 1267%
Aarp $137 1411%
Aarp Supplemental $137 1411%
American Republic $137 1411%
American Retirement $137 1411%
Aultcare Primetime Health Plan $137 1411%
Bankers Fidelity $137 1411%
Bankers Life And Casualty $137 1411%
Central States $137 1411%
Champus $137 1411%
Cigna $137 - $36,579 1411%
Communicare Advantage $137 1411%
Everest $137 1411%
Gateway Health Plan $137 1411%
Patient No Pay $137 1411%
Prosperity Supplement $137 1411%
Wellcare By Allwell $137 1411%
Wraparound Pl Supp $137 1411%
Humana $23,478 241792%
Devoted Health $27,000 278064%
Employer Direct $29,995 308908%
Healthgram $36,579 376715%
Nalc $36,579 376715%
Samba $36,579 376715%
Sbma $36,579 376715%
Unified Group $36,579 376715%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 West Main Street, Springfield, OH 45502
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals