CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Tristar Skyline Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $11
  • Cash Discount Price: $701
  • vs. Medicare Baseline: 1.13x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Tristar Skyline Medical Center is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $701. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.13x the Medicare baseline. Located in 3441 Dickerson Pike, Nashville, TN.
Cash / Self-Pay
$701

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $701 (7219%)
Insurance Median: $11 (113%)
Cash: $701 (7219% of Medicare)
Ins. Median: $11 (113% 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
Wellpoint $4 41%
Aetna $8 - $351 82%
Alive Hospice $10 103%
Ambetter / Centene $10 103%
American Health Advantage $10 103%
Amerigroup $10 103%
Blue Cross Blue Shield $10 - $54 103%
Bright Health $10 - $11 103%
Devoted Health Plan $10 103%
Evergreen Hmo $10 103%
Healthspring $10 103%
Humana $10 - $456 103%
Odyssey Healthcare $10 103%
Sarah Cannon Research $10 103%
Signature Advantage $10 103%
United $10 - $316 103%
Wellcare $10 103%
Zing $10 103%
Atrio Golden Times $11 113%
Corvel Corporation $14 144%
Novanet $14 144%
Prime Health $14 - $617 144%
Cigna $17 - $229 175%
Oscar $29 299%
Kentucky Labor Cabinet $129 1329%
Nhc Advantage, Inc. $133 1370%
Pruitt Health (Allyalign) $133 1370%
Centurion $289 2976%
Bgfh Singlesource $351 - $596 3615%
Employers Health Network $491 5057%
Mhnet $526 5417%
Odom'S Tn Pride Sausage $526 5417%
Multiplan $575 5922%
Beech Street $617 6354%
Triwest Healthcare $687 7075%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3441 Dickerson Pike, Nashville, TN 37207
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals