CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: John Randolph Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $10
  • Cash Discount Price: $438
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at John Randolph Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $438. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.03x the Medicare baseline. Located in 411 West Randolph Road, Hopewell, VA.
Cash / Self-Pay
$438

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: $438 (4511%)
Insurance Median: $10 (103%)
Cash: $438 (4511% 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
Triatlantic $8 82%
Health Net $9 93%
Aetna $10 103%
Align Senior Care $10 103%
Blue Cross Blue Shield $10 - $39 103%
Cigna $10 - $44 103%
Clear Spring Health Plan $10 103%
Davita Village Health $10 103%
Devoted $10 103%
Evernorth Behavioral Health $10 103%
Humana $10 103%
Johns Hopkins $10 103%
Pyramid Life $10 103%
Sentara Health $10 103%
United $10 - $197 103%
United Behavioral Health $10 103%
Virginia Premier Health $10 103%
Naphcare $13 134%
Oscar $24 247%
Lifeworks $83 855%
Universal Healthcare Group $96 989%
Virginia Health Network $153 - $285 1576%
Value Options $263 2709%
Corvel $315 3244%
Occunet Workers Comp $350 3605%
4Most Health Nework $394 4058%
Multiplan $394 4058%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 411 West Randolph Road, Hopewell, VA 23860
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals