CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Excela Health - Frick Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $10
  • Cash Discount Price: $30
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Excela Health - Frick Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $30. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.03x the Medicare baseline. Located in 508 South Church Street, Mount Pleasant, PA.
Cash / Self-Pay
$30

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $30 (309%)
Insurance Median: $10 (103%)
Cash: $30 (309% of Medicare)
Ins. Median: $10 (103% 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.

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
Geisinger $8 - $10 82%
Health Partners Plans $8 82%
Amerihealth Caritas $9 - $10 93%
Highmark Advantage Community Blue $9 93%
Highmark Wholecare $9 - $11 93%
Pa Health And Wellness $9 - $10 93%
Upmc $9 - $10 93%
Aetna $10 - $22 103%
Cigna $10 - $15 103%
Devoted $10 103%
Health Partners Plan $10 103%
Humana $10 103%
Martin'S Point $10 103%
Peak Health $10 - $23 103%
The Health Plan Of West Virginia $10 - $23 103%
United $10 103%
Va $10 103%
American Health Plan Of Pa $11 113%
Provider Network Of America $11 - $40 113%
Provider Plan Partners Plan $11 113%
Upmc Health Plan $11 - $53 113%
Ambetter / Centene $12 124%
Highmark Children'S Health Insurance Program $12 124%
UnitedHealthcare $12 124%
Upmc For Kids Chip $12 124%
Highmark $13 - $21 134%
Velocity $15 154%
Community Blue $19 196%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 508 South Church Street, Mount Pleasant, PA 15666
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals