CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Cumberland Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $11
  • Cash Discount Price: $30
  • vs. Medicare Baseline: 1.13x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Cumberland Medical Center is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $30. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.13x the Medicare baseline. Located in 421 S Main St, Crossville, TN.
Cash / Self-Pay
$30

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: $30 (309%)
Insurance Median: $11 (113%)
Cash: $30 (309% 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
Ehn $1 - $44 10%
Beech Street $2 - $83 21%
Ccn Managed Care $2 - $83 21%
Community Services Network $2 - $64 21%
Correctional Medical Services $2 - $59 21%
Direct Care America $2 - $78 21%
Galaxy Health Network $2 - $88 21%
Initial Group $2 - $86 21%
Medsave Usa $2 - $78 21%
National Provider Network $2 - $78 21%
Novanet $2 - $74 21%
Usa Managed Care Organization $2 - $69 21%
Wellpoint $4 - $11 41%
UnitedHealthcare $7 - $11 72%
Tricare $10 103%
Aetna $11 - $14 113%
Blue Cross Blue Shield $11 - $20 113%
Cigna $11 - $21 113%
Devoted Health $11 113%
Farm Bureau $11 113%
Humana $11 113%
Wellcare $11 113%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 421 S Main St, Crossville, TN 38555
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals