CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Black River Memorial Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $123
Cash Discount Price: $121
vs. Medicare Baseline: 12.67x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Black River Memorial Hospital is $123. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $121. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 12.67x the Medicare baseline. Located in 711 W Adams St, Black River Falls, WI.

Cash / Self-Pay

$121

Average discount available for prompt cash payment at this facility.

Insurance Median

$123

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: $121 (1246%)

Insurance Median: $123 (1267%)

Cash: $121 (1246% of Medicare)

Ins. Median: $123 (1267% 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 1267% of the Medicare baseline (a markup of 1167%). 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	$7 - $68	72%
Group Health Cooperative Of Eau Claire	$10 - $130	103%
My Choice Wisconsin, Inc.	$10 - $68	103%
Quartz Health Solutions, Inc	$10 - $122	103%
UnitedHealthcare	$10 - $126	103%
Humana	$68 - $125	700%
Security Health Plan	$68 - $125	700%
Corvel	$82	844%
The Alliance	$114 - $129	1174%
Triology Health Solutions	$121 - $127	1246%
Medica	$125	1287%
Association Benefits Solution	$127	1308%
Family Health Center Of Marshfield	$127	1308%
First Health Group Corporation	$127	1308%
Provider Network Of America	$127	1308%
Cigna	$130	1339%
Cofinity	$130	1339%
Coventry Health Care	$130	1339%
Custom Benefit Administrators	$130	1339%
Healthpartners, Inc.	$130	1339%
Multiplan	$130 - $133	1339%
Wisconsin Physicians Service Insurance Corp	$130	1339%
Chorus	$131	1349%

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 $121.
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 Black River Memorial 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.