CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Forbes Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $10
  • Cash Discount Price: $61
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Forbes Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $61. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.03x the Medicare baseline. Located in 2570 Haymaker Road, Monroeville, PA.
Cash / Self-Pay
$61

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: $61 (628%)
Insurance Median: $10 (103%)
Cash: $61 (628% 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
Highmark $5 - $16 51%
Amerihealth $7 - $10 72%
Cigna $7 - $10 72%
Jefferson Health Plans $7 72%
Aetna $8 - $28 82%
Univera $8 - $12 82%
American Health Plans $10 103%
Highmark Wholecare $10 103%
Humana $10 103%
Life Pittsburgh $10 103%
Martin'S Point $10 - $27 103%
Medical Mutual $10 103%
Medicare (plans) $10 103%
Pennsylvania Health And Wellness $10 103%
UnitedHealthcare $10 - $11 103%
Geisinger $11 113%
Molina $11 113%
University Of Pittsburgh Medical Center $77 793%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2570 Haymaker Road, Monroeville, PA 15146
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals