Blood test, average blood sugar (A1c)
Facility: Regional Medical Center
Billing Code: 83036 (CPT)
- CPT Billing Code: 83036
- Insurance Median: $870
- Cash Discount Price: $63
- vs. Medicare Baseline: 89.60x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 8960% of the Medicare baseline (a markup of 8860%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medical Associates Health Plan - Tri | $870 | 8960% |
Consumer Guidance & Cost Commentary
For a Blood test, average blood sugar (A1c) procedure at Regional Medical Center in Manchester, the cash median price is $63. This facility is a Critical Access Hospital with a government-local ownership rating of 4 stars. While the facility's cash rate is significantly lower than the median negotiated rate of $870 from Medical Associates Health Plan - Tri, patients should be aware that cash-pay options can sometimes result in lower out-of-pocket costs if their insurance negotiated rate exceeds the cash price. Given that the cash rate is $16 less than the Medicare amount of $9.71 when adjusted for the specific data context, it is advisable to confirm with the hospital regarding available "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can further reduce the final bill.
This pricing data reflects the specific contracted and cash rates for this service code (83036) as of the 2026-06 vintage. Although the provided data does not include explicit state or county average comparisons for this specific procedure, the stark difference between the cash rate and the negotiated rate highlights the importance of understanding your plan's deductible status before relying on insurance. Patients should avoid accepting summary bills as the final invoice and instead request a full itemized CPT-coded bill to identify any potential errors, unbundled codes, or services not rendered. Furthermore, if a balance bill arises from an out-of-network provider, patients should not immediately pay the full amount but rather dispute the charge with their insurer to request a No Surprises Act audit, ensuring they are protected from unexpected costs.