CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Wellspan York Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $40
Cash Discount Price: $25
vs. Medicare Baseline: 4.12x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Wellspan York Hospital is $40. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 4.12x the Medicare baseline. Located in 1001 South George Street, York, PA.

Cash / Self-Pay

$25

Average discount available for prompt cash payment at this facility.

Insurance Median

$40

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: $25 (257%)

Insurance Median: $40 (412%)

Cash: $25 (257% of Medicare)

Ins. Median: $40 (412% 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 412% of the Medicare baseline (a markup of 312%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Medicaid / KanCare	$7 - $17	72%
Aetna	$10 - $65	103%
Johns_Hopkins_Healthcare_Plan	$10 - $71	103%
Medicare (plans)	$10	103%
Highmark	$15 - $60	154%
Wellspan_Capital_Blue_Cross	$26 - $69	268%
United_Healthcare	$29	299%
Blue_Cross	$36 - $67	371%
First_Health_Network	$40 - $65	412%
Cigna	$63 - $67	649%
Phc	$68	700%
Geisinger	$71	731%
Upmc	$71	731%

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 $25.
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 Wellspan York 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.