CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: UPMC Hanover

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $16
  • Cash Discount Price: $49
  • vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at UPMC Hanover is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.65x the Medicare baseline. Located in 300 Highland Ave, Hanover, PA.
Cash / Self-Pay
$49

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $49 (505%)
Insurance Median: $16 (165%)
Cash: $49 (505% of Medicare)
Ins. Median: $16 (165% 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
Amerihealth Caritas $7 72%
Highmark Wholecare (Prev Gateway) $9 93%
UnitedHealthcare $9 - $10 93%
Upmc Health Plan $9 - $68 93%
Aetna $10 103%
Blue Cross Blue Shield $10 - $56 103%
Cigna $10 - $25 103%
Geisinger $10 - $59 103%
Health Partners Plans (Jefferson Health Plan) $10 103%
Humana $10 103%
Pa Health & Wellness $10 - $12 103%
Upmc Work Partners $10 103%
Keystone Autism Services $16 165%
Keystone Health Plan $16 - $56 165%
Prime Net $20 - $26 206%
Carefirst $70 721%
Multiplan $70 721%
Wellspan Population Health $71 731%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Highland Ave, Hanover, PA 17331
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals