Blood test, average blood sugar (A1c)
Facility: Atlanticare Regional Medical Center - City Campus
Billing Code: 83036 (CPT)
- CPT Billing Code: 83036
- Insurance Median: $174
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 17.92x 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 1792% of the Medicare baseline (a markup of 1692%). 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 |
|---|---|---|
| Amerigroup | $1 | 10% |
| UnitedHealthcare | $1 - $155 | 10% |
| Aetna | $1 - $187 | 10% |
| Wellcare | $1 | 10% |
| Americhoice | $1 | 10% |
| Ambetter / Centene | $2 | 21% |
| Health Partners Plan | $8 - $54 | 82% |
| Devoted Health Plan | $10 - $109 | 103% |
| Oxford | $10 - $164 | 103% |
| Global Exchange Managed Care | $15 | 154% |
| Horizon | $30 - $158 | 309% |
| Self Pay | $33 - $34 | 340% |
| Magnacare | $87 - $203 | 896% |
| Cigna | $91 - $114 | 937% |
| Evernorth | $109 - $113 | 1123% |
| Qualcare Commercial | $109 - $113 | 1123% |
| Great West Life | $110 - $114 | 1133% |
| Amerihealth | $140 - $190 | 1442% |
| Active Care Plus | $142 - $147 | 1462% |
| Qualcare Wc | $142 - $147 | 1462% |
| Mutual of Omaha | $142 - $147 | 1462% |
| First McO | $142 - $147 | 1462% |
| Donio Trucking | $153 - $158 | 1576% |
| Consumer Health Network (Chn) | $153 - $203 | 1576% |
| Devon/ Ullicare | $164 - $170 | 1689% |
| Private Healthcare System (PHCS) | $174 - $181 | 1792% |
| Coventry Health Care | $174 - $181 | 1792% |
| Blue Cross Blue Shield | $179 - $186 | 1843% |
| Metrahealth of Nj | $185 - $192 | 1905% |
| Health South | $185 - $192 | 1905% |
| Health Payors Org | $185 - $192 | 1905% |
| Three Rivers Provider Network (Trpn) | $185 - $192 | 1905% |
| Prime Health Services | $185 - $192 | 1905% |
| Health Network Inc | $196 - $203 | 2019% |
| Galaxy Health Network | $196 - $203 | 2019% |
| Department of Corrections | $196 - $203 | 2019% |
| Multiplan | $196 - $203 | 2019% |
| McS Commercial | $196 - $203 | 2019% |
| Metracomp | $196 - $203 | 2019% |
| Active Care Nj Pip | $196 - $203 | 2019% |
| Provider Select, Inc | $196 - $203 | 2019% |
| Choice Care | $196 - $203 | 2019% |
| Beech Street | $196 - $203 | 2019% |
| Intergroup Preferred Program | $196 - $203 | 2019% |
| Atlantis Health Plan | $202 - $209 | 2080% |
| Master Care Inc | $202 - $209 | 2080% |
| McSi/Mrsi No Fault | $207 - $215 | 2132% |
| National Health Plan | $207 - $215 | 2132% |
| Community Care Network | $207 - $215 | 2132% |
| McSi/Mrsi Worker's Comp | $207 - $215 | 2132% |
| Advance Healthcare System | $207 - $215 | 2132% |
| Health Network America | $207 - $215 | 2132% |