CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Ascension Ne Wisconsin - St Elizabeth Campus

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $14
  • Cash Discount Price: $34
  • vs. Medicare Baseline: 1.44x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Ascension Ne Wisconsin - St Elizabeth Campus is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $34. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.44x the Medicare baseline. Located in 1506 S Oneida St, Appleton, WI.
Cash / Self-Pay
$34

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $34 (350%)
Insurance Median: $14 (144%)
Cash: $34 (350% of Medicare)
Ins. Median: $14 (144% 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
Blue Cross Blue Shield $10 103%
Medicare (plans) $10 103%
Veterans Administration $10 103%
Wellcare $10 103%
Centivo Nw1 $13 - $69 134%
Centivo Nw3 $13 - $69 134%
Alliance $14 144%
Smarthealth $14 144%
Sehn $19 196%
Molina Marketplace $20 206%
Network Health Plan $22 227%
Cchp $32 330%
Cigna $37 381%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1506 S Oneida St, Appleton, WI 54915
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals