CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Tristar Northcrest Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $10
  • Cash Discount Price: $244
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Tristar Northcrest Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $244. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.03x the Medicare baseline. Located in 100 Northcrest Drive, Springfield, TN.
Cash / Self-Pay
$244

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: $244 (2513%)
Insurance Median: $10 (103%)
Cash: $244 (2513% 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
Wellpoint $4 41%
Aetna $8 - $122 82%
Alive Hospice $10 103%
Ambetter / Centene $10 103%
American Health Advantage $10 103%
Amerigroup $10 103%
Blue Cross Blue Shield $10 - $13 103%
Bright Health $10 - $11 103%
Devoted Health Plan $10 103%
Evergreen Hmo $10 103%
Healthspring $10 103%
Humana $10 - $39 103%
Molina $10 103%
United $10 - $110 103%
Wellcare $10 - $13 103%
Zing $10 103%
Atrio Golden Times $11 113%
Novanet $14 144%
Prime Health $14 144%
Cigna $17 - $71 175%
Oscar $29 299%
Nhc Advantage, Inc. $46 474%
City Of Springfield $159 1637%
Multiplan $190 - $200 1957%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 Northcrest Drive, Springfield, TN 37172
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals