CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Tristar Ashland City Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $13
  • Cash Discount Price: $1,011
  • vs. Medicare Baseline: 1.34x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Tristar Ashland City Medical Center is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,011. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.34x the Medicare baseline. Located in 313 North Main St, Ashland City, TN.
Cash / Self-Pay
$1,011

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $1,011 (10412%)
Insurance Median: $13 (134%)
Cash: $1,011 (10412% of Medicare)
Ins. Median: $13 (134% 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 - $505 82%
Ambetter / Centene $10 103%
American Health Advantage $10 103%
Bright Health $10 - $12 103%
Devoted Health Plan $10 103%
Evergreen Hmo $10 103%
Healthspring $10 103%
Humana $10 - $253 103%
Sarah Cannon Research $10 103%
United $10 - $455 103%
Wellcare $10 103%
Zing $10 103%
Atrio Golden Times $11 113%
Signature Advantage $11 113%
Blue Cross Blue Shield $13 - $2,000 134%
Corvel Corporation $14 144%
Novanet $14 144%
Prime Health $14 144%
Cigna $17 - $315 175%
Oscar $29 299%
Kentucky Labor Cabinet $186 1916%
Apex Health $192 1977%
Nhc Advantage, Inc. $192 1977%
Pruitt Health (Allyalign) $192 1977%
Amerigroup $313 3223%
Bgfh Singlesource $505 - $859 5201%
Multiplan $556 5726%
Southern Health Partners $606 6241%
Employers Health Network $707 7281%
Odom'S Tn Pride Sausage $758 7806%
Beech Street $930 9578%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 313 North Main St, Ashland City, TN 37015
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Rural Emergency Hospital