CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Lee County Community Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $16
  • Cash Discount Price: $17
  • vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Lee County Community Hospital is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.65x the Medicare baseline. Located in 127 Health Care Drive, Pennington Gap, VA.
Cash / Self-Pay
$17

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $17 (175%)
Insurance Median: $16 (165%)
Cash: $17 (175% of Medicare)
Ins. Median: $16 (165% 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
Aetna $8 - $72 82%
Blue Cross Blue Shield $8 - $72 82%
Molina Healthcare $8 - $16 82%
Optima Health $8 82%
UnitedHealthcare $8 - $16 82%
Ambetter / Centene $16 165%
Amerigroup $16 - $72 165%
Humana $16 165%
Managed Medicaire $16 165%
Medicare (plans) $16 165%
Mountain Empire Pace $16 165%
Sentara Health $16 - $19 165%
United Mine Workers Of America $16 165%
Cigna $17 - $72 175%
Devoted Health Plan $17 175%
Nhc Advantage $17 175%
Seven Corners, Inc. $38 391%
First Health Coventry $72 742%
Medcost $72 742%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 127 Health Care Drive, Pennington Gap, VA 24277
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals