CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Charleston Area Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $152
Cash Discount Price: $171
vs. Medicare Baseline: 15.65x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Charleston Area Medical Center is $152. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $171. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 15.65x the Medicare baseline. Located in 501 Morris Street, Charleston, WV.

Cash / Self-Pay

$171

Average discount available for prompt cash payment at this facility.

Insurance Median

$152

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: $171 (1761%)

Insurance Median: $152 (1565%)

Cash: $171 (1761% of Medicare)

Ins. Median: $152 (1565% 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 1565% of the Medicare baseline (a markup of 1465%). 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
Aetna	$9 - $183	93%
The Health Plan Of West Virginia Inc.	$9 - $181	93%
Triwest Va	$9	93%
Unicare Health Plan Of West Virginia Inc.	$9	93%
Blue Cross Blue Shield	$10 - $171	103%
Choicecare Network	$10 - $183	103%
Optimum Choice Inc.	$10	103%
UnitedHealthcare	$10 - $183	103%
West Virginia Senior Advantage Inc.	$10	103%
Integrated Medical Solutions	$19	196%
Naphcare	$19	196%
Caresource	$24	247%
Tricare	$95 - $112	978%
City Of Charleston	$118 - $140	1215%
Cigna	$147 - $174	1514%
Three Rivers Providers Network	$153 - $181	1576%
Healthsmart	$155 - $183	1596%
Multiplan	$155 - $183	1596%

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 $171.
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 Charleston Area Medical Center 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.