CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: University Hospitals Conneaut Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $109
  • Cash Discount Price: $146
  • vs. Medicare Baseline: 11.23x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at University Hospitals Conneaut Medical Center is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $146. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 11.23x the Medicare baseline. Located in 158 West Main Road, Conneaut, OH.
Cash / Self-Pay
$146

Average discount available for prompt cash payment at this facility.

Insurance Median
$109

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: $146 (1504%)
Insurance Median: $109 (1123%)
Cash: $146 (1504% of Medicare)
Ins. Median: $109 (1123% 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 1123% of the Medicare baseline (a markup of 1023%). 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
Blue Cross Blue Shield $9 - $185 93%
University Health Employee Plan (Contigo) $14 144%
Aetna $23 - $108 237%
UnitedHealthcare $58 - $60 597%
Cigna $60 - $144 618%
Devoted $60 618%
Humana $60 618%
Medical Mutual Of Ohio $60 - $184 618%
Molina $60 618%
Primetime Health Plan $60 618%
Summacare $60 - $99 618%
The Health Plan $60 - $129 618%
Wellcare By Allwell $60 618%
Paramount $62 639%
Perennial Advantage Of Ohio $63 649%
Valor Health Plans $63 649%
Amish Aid Community Plan $90 927%
Amish Church Fund And Workers Aid Plan $90 927%
Buckeye Plain Ministries $90 927%
Jp Farley $92 947%
Clarity $94 968%
Christian Healthcare Ministries $98 1009%
Immergrun $98 1009%
Sunrise Plan Communities $98 1009%
Aultcare $107 1102%
Ambetter / Centene $109 1123%
Caresource $109 1123%
Healthsmart $127 1308%
Ohio Health Choice $127 - $176 1308%
Medical Mutual Traditional/Health Ohio $136 1401%
Beech Street $156 - $176 1607%
Ohio Preferred Network $156 - $176 1607%
First Health $162 1668%
Century Health Network $166 1710%
Private Healthcare System $168 1730%
Configurenet $176 1813%
Fortified Provider Network $176 1813%
Multiplan $176 1813%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 158 West Main Road, Conneaut, OH 44030
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals