CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Methodist Hospitals of Memphis

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $12
Cash Discount Price: $250
vs. Medicare Baseline: 1.24x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Methodist Hospitals of Memphis is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $250. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.24x the Medicare baseline. Located in 1265 Union Ave Suite 700, Memphis, TN.

Cash / Self-Pay

$250

Average discount available for prompt cash payment at this facility.

Insurance Median

$12

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: $250 (2575%)

Insurance Median: $12 (124%)

Cash: $250 (2575% of Medicare)

Ins. Median: $12 (124% 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
UnitedHealthcare	$4 - $4,553	41%
Medicaid / KanCare	$9 - $2,308	93%
Molina Healthcare [350012]	$9 - $11	93%
American Health Advantage Mcr Adv [450117]	$10 - $2,882	103%
Blue Cross Blue Shield	$10 - $2,882	103%
Carecentrix [450200]	$10 - $2,882	103%
Cigna	$10 - $6,017	103%
Devoted Health [450111]	$10 - $2,969	103%
Generic Hospice Vbid [10940000101]	$10 - $2,882	103%
Humana	$10 - $2,882	103%
Medicare (plans)	$10 - $2,882	103%
United Food & Commercial Workers [100309]	$10 - $6,017	103%
Va Hospital [600005]	$10 - $2,882	103%
Select Specialty Hospital [100298]	$13	134%
Tricare	$55 - $2,851	566%

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 $250.
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 Methodist Hospitals of Memphis 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.