CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: UPMC Wellsboro

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $183
Cash Discount Price: $166
vs. Medicare Baseline: 18.85x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at UPMC Wellsboro is $183. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $166. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 18.85x the Medicare baseline. Located in 32-36 Central Avenue, Wellsboro, PA.

Cash / Self-Pay

$166

Average discount available for prompt cash payment at this facility.

Insurance Median

$183

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: $166 (1710%)

Insurance Median: $183 (1885%)

Cash: $166 (1710% of Medicare)

Ins. Median: $183 (1885% 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 1885% of the Medicare baseline (a markup of 1785%). 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
Amerihealth Caritas	$7	72%
Geisinger	$8 - $185	82%
Highmark Wholecare (Prev Gateway)	$8 - $55	82%
Upmc Health Plan	$8 - $120	82%
UnitedHealthcare	$9 - $235	93%
Upmc Work Partners	$10	103%
Health Partners Plans (Jefferson Health Plan)	$11	113%
Pa Health & Wellness	$12 - $60	124%
Aetna	$45 - $238	463%
Blue Cross Blue Shield	$50 - $140	515%
Cigna	$52 - $58	536%
Wirerope Works	$139 - $153	1432%
Multiplan	$195 - $262	2008%
America'S Choice	$225 - $248	2317%
Intergroup	$225 - $248	2317%

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 $166.
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 UPMC Wellsboro 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.