CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Magee Memorial Hospital for Convalescents

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $10
  • Cash Discount Price: $11
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Magee Memorial Hospital for Convalescents is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.03x the Medicare baseline. Located in 1513 Race Street, Philadelphia, PA.
Cash / Self-Pay
$11

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: $11 (113%)
Insurance Median: $10 (103%)
Cash: $11 (113% 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
Aetna $9 - $13 93%
Geisinger Health Plan $9 - $40 93%
Jefferson Health Plan Aca Qhp Exchange $9 93%
Magee Pa Health_Wellness $9 - $11 93%
Cigna $10 103%
Devoted Health Participation $10 103%
Humana $10 103%
Innovage $10 103%
Inspira Life $10 103%
Magee Health Partners $10 103%
Magee Keystone Vip $10 103%
Magee Provider Partners Health Plan $10 103%
Medicare (plans) $10 - $11 103%
St Agnes $10 103%
UnitedHealthcare $10 103%
Highmark Wholecare Gateway $11 113%
Perennial $11 113%
Ibc Employee Benefit $12 124%
Ibc Main Line Health $12 124%
Magee Keystone First $13 134%
Medicaid / KanCare $13 134%
Ambetter / Centene $14 144%
Magee United $15 154%
Magee Naphcare $16 165%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1513 Race Street, Philadelphia, PA 19102
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL