CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Carilion Giles Community Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $139
Cash Discount Price: $78
vs. Medicare Baseline: 14.32x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Carilion Giles Community Hospital is $139. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $78. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 14.32x the Medicare baseline. Located in 159 Hartley Way, Pearisburg, VA.

Cash / Self-Pay

$78

Average discount available for prompt cash payment at this facility.

Insurance Median

$139

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: $78 (803%)

Insurance Median: $139 (1432%)

Cash: $78 (803% of Medicare)

Ins. Median: $139 (1432% 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 1432% of the Medicare baseline (a markup of 1332%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$10	103%
Sentara Health Plan	$10 - $139	103%
Abh Of Va (Formerly Coventry)	$11	113%
Abh Of Wva (Formerly Coventry)	$11	113%
Humana	$11	113%
UnitedHealthcare	$11 - $183	113%
Aetna	$114 - $149	1174%
Gateway - Tier 3	$123	1267%
Vhn - Ultra	$139	1432%
Cigna	$151 - $161	1555%
Connecticare	$157	1617%
Vhn - Plus	$172	1771%
Gateway - Tier 2	$179	1843%
Vhn	$179	1843%
Vhn - Link	$202	2080%
Gateway - Tier 1	$213	2194%
Vhn - Secondary Payors	$213	2194%

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 $78.
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 Carilion Giles Community Hospital 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.