CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Blount Memorial Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $14
Cash Discount Price: $41
vs. Medicare Baseline: 1.44x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Blount Memorial Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $41. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.44x the Medicare baseline. Located in 907 E Lamar Alexander Parkway, Maryville, TN.

Cash / Self-Pay

$41

Average discount available for prompt cash payment at this facility.

Insurance Median

$14

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: $41 (422%)

Insurance Median: $14 (144%)

Cash: $41 (422% of Medicare)

Ins. Median: $14 (144% 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.

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
Medicaid / KanCare	$4 - $13	41%
Golden Rule Insurance Company [2991]	$6	62%
Oxford Health Plans [2992]	$6	62%
UnitedHealthcare	$6 - $12	62%
Blue Cross Blue Shield	$7 - $10	72%
Cigna	$8 - $13	82%
Mvp Health Care [3037]	$8	82%
Tricare	$9	93%
Humana	$10	103%
Medicare (plans)	$10	103%
Ambetter / Centene	$15	154%
Consociate Health Contracted [4835]	$21	216%
Fairos/Occunet Contracted [4837]	$22	227%
Prisma Health Seniorcare Pace - Midlands [5400]	$31	319%
Prisma Health Seniorcare Pace-Upstate [5200]	$31	319%
Promise Health Plan Contracted [2401]	$46 - $79	474%
Orangeburg Senior Helping Center Pace [5401]	$53	546%
Bob Jones Univ-Pai [821]	$79	814%
Preferred Administrators Contracted [2839]	$92	947%
Medcost [2940]	$98 - $110	1009%
Atlantic Packaging Contracted [4833]	$99	1020%
Aps Healthcare System [2981]	$106	1092%
Multiplan/Phcs Contracted [2950]	$117	1205%
Aetna	$119	1226%
Meritain Health Contracted [2200]	$119	1226%
Nippon [2300]	$119	1226%
Vsp Vision Care [2986]	$119	1226%
First Health Contracted [2952]	$123	1267%
Furman Int/Allen University Student [2951]	$123	1267%
Quiktrip-First Health [3067]	$123	1267%

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 $41.
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 Blount Memorial Hospital 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.