CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Vandalia Health Broaddus Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $19
  • Cash Discount Price: $29
  • vs. Medicare Baseline: 1.96x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Vandalia Health Broaddus Hospital is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $29. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.96x the Medicare baseline. Located in 1 Healthcare Drive Mansfield Hill, Philippi, WV.
Cash / Self-Pay
$29

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: $29 (299%)
Insurance Median: $19 (196%)
Cash: $29 (299% 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
Peak Health $3 - $28 31%
Aetna $9 - $80 93%
Blue Cross Blue Shield $11 - $63 113%
Highmark $11 - $65 113%
The Health Plan $11 - $80 113%
UnitedHealthcare $11 - $86 113%
Humana $12 - $68 124%
West Virginia Senior Advantage $12 - $69 124%
Cigna $13 - $78 134%
First Health $13 - $80 134%
Geha $14 - $85 144%
Geisenger Health Plan $14 - $83 144%
Health Network America $14 - $85 144%
Multiplan/Phcs $14 - $84 144%
Selectnet $15 - $87 154%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Healthcare Drive Mansfield Hill, Philippi, WV 26416
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals