CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Columbus Community Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $50
  • Cash Discount Price: $138
  • vs. Medicare Baseline: 5.15x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Columbus Community Hospital is $50. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $138. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 5.15x the Medicare baseline. Located in 1515 Park Ave, Columbus, WI.
Cash / Self-Pay
$138

Average discount available for prompt cash payment at this facility.

Insurance Median
$50

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: $138 (1421%)
Insurance Median: $50 (515%)
Cash: $138 (1421% of Medicare)
Ins. Median: $50 (515% 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 515% of the Medicare baseline (a markup of 415%). 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 $8 - $192 82%
Dean Health Plan $8 - $84 82%
Icare $8 - $72 82%
My Choice Wisconsin $8 - $10 82%
Quartz $8 - $164 82%
Security Health Plan $8 - $187 82%
UnitedHealthcare $8 - $208 82%
Alliance $28 288%
Cigna $150 1545%
Health Payment Systems $188 1936%
Trilogy $205 2111%
Wps $210 2163%
Healtheos $218 - $232 2245%
First Health $220 2266%
Humana $225 2317%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Park Ave, Columbus, WI 53925
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals