CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Marshfield Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $87
  • Cash Discount Price: $113
  • vs. Medicare Baseline: 8.96x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Marshfield Medical Center is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $113. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 8.96x the Medicare baseline. Located in 611 St Joseph Ave, Marshfield, WI.
Cash / Self-Pay
$113

Average discount available for prompt cash payment at this facility.

Insurance Median
$87

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: $113 (1164%)
Insurance Median: $87 (896%)
Cash: $113 (1164% of Medicare)
Ins. Median: $87 (896% 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 896% of the Medicare baseline (a markup of 796%). 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
Blue Cross Blue Shield $10 - $61 103%
Group Health Cooperative Of Eau Claire $10 - $134 103%
Security Health Plan (Shp) $10 - $67 103%
Veteran'S Administration (Va Ccn) $10 103%
Managed Health Services $11 113%
UnitedHealthcare $34 350%
Family Health Center (Fhc) $46 - $73 474%
Amish/Mennonite $51 - $80 525%
Sanford Health Plan $51 - $80 525%
The Alliance $64 - $122 659%
Besse Forest Products $78 - $124 803%
Molina Healthcare Of Wi $78 - $124 803%
Rice Lake School District $78 - $124 803%
Wps Health Insurance $81 - $141 834%
Trilogy $83 - $140 855%
Medica Of Wi $85 - $138 875%
Cigna $86 - $137 886%
Healtheos By Multiplan Inc. $86 - $139 886%
Corvel $87 - $139 896%
First Health $87 - $139 896%
Health Partners $87 - $139 896%
Three Rivers Provider Network (Trpn) $87 - $139 896%
Coventry $88 - $140 906%
Health Smart $88 - $140 906%
Rising Medical Work Comp $89 - $142 917%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 611 St Joseph Ave, Marshfield, WI 54449
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals