CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: McLeod Health Cheraw

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $21
  • Cash Discount Price: $87
  • vs. Medicare Baseline: 2.16x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at McLeod Health Cheraw is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $87. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 2.16x the Medicare baseline. Located in 711 Chesterfield Highway, Cheraw, SC.
Cash / Self-Pay
$87

Average discount available for prompt cash payment at this facility.

Insurance Median
$21

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: $87 (896%)
Insurance Median: $21 (216%)
Cash: $87 (896% of Medicare)
Ins. Median: $21 (216% 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 216% of the Medicare baseline (a markup of 116%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Absolute Total Care $10 - $24 103%
Aetna $10 - $98 103%
Allwell $10 103%
Blue Cross Blue Shield $10 - $117 103%
Clover $10 103%
Humana $10 103%
Medicare (plans) $10 103%
Molina $10 - $24 103%
UnitedHealthcare $10 - $75 103%
Wellcare $10 103%
Ambetter / Centene $17 175%
Medicaid / KanCare $23 237%
Select Health $24 247%
Cigna $59 608%
Tricare $116 1195%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 711 Chesterfield Highway, Cheraw, SC 29520
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals