CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: St Mary Medical Center

Billing Code: 83036 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$12
about 1.2× the $10 Medicare rate · typically $10–$19
modeled estimate · not a bill or quote
Medicare pays $10 Fair price $12 Hospital's list price $129

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $12 - $62 124%
Blue Cross Blue Shieldmajor $10 - $130 103%
Aetnamajor $10 - $115 103%
Cignamajor $10 - $52 103%
Ambetter (Centene) $17 175%
AmeriHealth $50 515%
GEHA $53 546%
Oscar Health $17 175%
UPMC Health Plan $52 536%
+ 9 smaller / regional plans $10 - $22
Government programs also on file: Medicare, Medicaid.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Facility Profile & Credentials

  • Address: Langhorne-Newtown Rd, Langhorne, PA 19047
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals