CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Lafollette Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $10
  • Cash Discount Price: $86
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Lafollette Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $86. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.03x the Medicare baseline. Located in 923 East Central Avenue, La Follette, TN.
Cash / Self-Pay
$86

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: $86 (886%)
Insurance Median: $10 (103%)
Cash: $86 (886% 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
Amerigroup $4 41%
Medicaid / KanCare $5 - $10 51%
UnitedHealthcare $5 - $288 51%
Node Champva $9 93%
Tricare $9 93%
Aetna $10 - $179 103%
Blue Cross Blue Shield $10 - $50 103%
Humana $10 103%
Medicare (plans) $10 103%
Node Amerigroup Mcr Adv $10 103%
Node Blueadvantage Mcr Adv $10 103%
Node Bluecare Plus Tn Mcr Adv $10 103%
Node Devoted Health Mcr Adv $10 103%
Node Farm Bureau Mcr Adv $10 103%
Node Healthspring Mcr Adv $10 103%
Node Hospice Non Par Agree $10 103%
Node Nhc Mcr Adv $10 103%
Node Va $10 103%
Node Wellcare Mcr Adv $10 103%
Tennessee Breast And Cervical Program $10 103%
Triwest $10 103%
Veterans Eval Services $10 103%
Wellcare $10 103%
Windsor Health Plan $10 103%
Node Us Dept Of Labor $12 124%
Novanet Work Comp Tn $14 144%
Cigna $15 154%
Tn Work Comp $15 154%
Ambetter / Centene $18 185%
Bluecare $20 - $23 206%
Node Point Comfort Underwriters $21 216%
Self Pay $83 855%
Multiplan Complementary $219 2255%
Beech Street Work Comp Tn $1,442 14851%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 923 East Central Avenue, La Follette, TN 37766
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals