CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Lewisgale Hospital Pulaski

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $57
  • Cash Discount Price: $359
  • vs. Medicare Baseline: 5.87x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Lewisgale Hospital Pulaski is $57. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $359. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 5.87x the Medicare baseline. Located in 2400 Lee Highway, Pulaski, VA.
Cash / Self-Pay
$359

Average discount available for prompt cash payment at this facility.

Insurance Median
$57

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: $359 (3697%)
Insurance Median: $57 (587%)
Cash: $359 (3697% of Medicare)
Ins. Median: $57 (587% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 587% of the Medicare baseline (a markup of 487%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Humana $7 - $10 72%
Triatlantic $8 82%
Health Net $9 93%
Aetna $10 - $162 103%
Align Senior Care $10 103%
Blue Cross Blue Shield $10 - $46 103%
Cigna $10 103%
Clear Spring Health Plan $10 103%
Devoted $10 103%
Evernorth Behavioral Health $10 103%
Good Samaritan Hospice $10 103%
Magellan $10 103%
Pyramid Life $10 103%
Sentara Health $10 103%
United $10 - $162 103%
United Mine Workers $10 103%
Virginia Premier Health $10 103%
Lifeworks $68 700%
Universal Healthcare Group $79 814%
Virginia Health Network $126 - $255 1298%
Greenvbrier Sporting Club $215 2214%
Corvel $258 2657%
Richfield Nursing Center $269 2770%
Richfield Retirement Community $269 2770%
Multiplan $276 2842%
Community Care Network $287 2956%
Graham-White Manufacturing $287 2956%
Occunet Workers Comp $287 2956%
One Health Plan $287 2956%
Patients Choice $316 3254%
4Most $323 3326%
American Postal Workers Union $323 3326%
Phcs $323 3326%
Star Transportation $323 3326%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 Lee Highway, Pulaski, VA 24301
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals