CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Geisinger Wyoming Valley Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $54
Cash Discount Price: $170
vs. Medicare Baseline: 5.56x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Geisinger Wyoming Valley Medical Center is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $170. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 5.56x the Medicare baseline. Located in 1000 East Mountain Boulevard, Wilkes Barre, PA.

Cash / Self-Pay

$170

Average discount available for prompt cash payment at this facility.

Insurance Median

$54

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: $170 (1751%)

Insurance Median: $54 (556%)

Cash: $170 (1751% of Medicare)

Ins. Median: $54 (556% 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 556% of the Medicare baseline (a markup of 456%). 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
Geisinger Family Plan	$7	72%
Medicaid / KanCare	$7	72%
Amerihealth	$8	82%
Health Partners	$8	82%
Upmc For You	$8	82%
Upmc Chip	$9	93%
Blue Cross Blue Shield	$10 - $64	103%
Geisinger Health Plan	$10 - $30	103%
Humana	$10	103%
Life Geisinger	$10	103%
Medicare (plans)	$10 - $11	103%
Prison Health Services	$10	103%
Ambetter / Centene	$32	330%
Cigna	$119 - $124	1226%
Aetna	$128 - $183	1318%
Christian Healthcare Ministries	$137	1411%
UnitedHealthcare	$140	1442%
Wyoming Seminary	$192	1977%
Intergroup Services	$233	2400%
Multiplan	$233	2400%

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 $170.
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 Geisinger Wyoming Valley Medical Center 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.