CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Preston Memorial Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $18
  • Cash Discount Price: $10
  • vs. Medicare Baseline: 1.85x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Preston Memorial Hospital is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.85x the Medicare baseline. Located in 150 Memorial Drive, Kingwood, WV.
Cash / Self-Pay
$10

Average discount available for prompt cash payment at this facility.

Insurance Median
$18

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: $10 (103%)
Insurance Median: $18 (185%)
Cash: $10 (103% of Medicare)
Ins. Median: $18 (185% 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
Advantra $9 - $59 93%
Aetna $9 - $88 93%
Humana $9 - $59 93%
Medicare (plans) $9 - $79 93%
Uhc_Va $9 - $59 93%
Upmc $9 - $62 93%
Medicaid / KanCare $10 - $67 103%
Blue_Cross_Highmark_Aca $11 - $71 113%
Blue_Cross_Highmark_Pos $12 - $79 124%
Blue_Cross_Highmark_Ppo $12 - $79 124%
Blue_Cross_Highmark_Traditional $13 - $87 134%
Cigna $14 - $90 144%
Geha $14 - $93 144%
UnitedHealthcare $14 - $88 144%
4_Most $15 - $95 154%
Health $15 - $95 154%
Unicare $103 1061%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 150 Memorial Drive, Kingwood, WV 26537
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals