CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Froedtert Community Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $19
  • Cash Discount Price: $45
  • vs. Medicare Baseline: 1.96x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Froedtert Community Hospital is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $45. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.96x the Medicare baseline. Located in 4805 S Moorland Rd, New Berlin, WI.
Cash / Self-Pay
$45

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

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: $45 (463%)
Insurance Median: $19 (196%)
Cash: $45 (463% of Medicare)
Ins. Median: $19 (196% 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 - $19 103%
Care Wisconsin $10 103%
Community Care $10 103%
Health Partners $10 - $90 103%
Humana $10 103%
Icare $10 103%
Molina $10 103%
Network Health Plan $10 - $12 103%
Security Health Plan Secure Savers $10 103%
UnitedHealthcare $10 - $12 103%
Centivo $11 - $69 113%
Chorus Community Health Plan $11 - $55 113%
Medical College Of Wisconsin $11 - $55 113%
Cigna $16 - $81 165%
Common Ground $16 - $83 165%
Health Payment Systems $16 - $85 165%
Sheboygan Employers Health Network $16 - $83 165%
Wisconsin Physician Services $16 - $83 165%
Trilogy $17 - $90 175%
Americas Choice $23 - $120 237%
First Health Network $23 - $122 237%
Healtheos $23 - $120 237%
Multiplan/Private Healthcare Systems $23 - $120 237%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4805 S Moorland Rd, New Berlin, WI 53151
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals