CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Regional Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $870
  • Cash Discount Price: $63
  • vs. Medicare Baseline: 89.60x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Regional Medical Center is $870. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 89.60x the Medicare baseline. Located in 709 W Main Street, Manchester, IA.
Cash / Self-Pay
$63

Average discount available for prompt cash payment at this facility.

Insurance Median
$870

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: $63 (649%)
Insurance Median: $870 (8960%)
Cash: $63 (649% of Medicare)
Ins. Median: $870 (8960% 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 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.

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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.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 709 W Main Street, Manchester, IA 52057
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals