CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Flagstaff Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $18
  • Cash Discount Price: $71
  • vs. Medicare Baseline: 1.85x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Flagstaff Medical Center is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $71. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.85x the Medicare baseline. Located in 1200 North Beaver Street, Flagstaff, AZ.
Cash / Self-Pay
$71

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: $71 (731%)
Insurance Median: $18 (185%)
Cash: $71 (731% 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
Health Net Federal $9 93%
Aetna $10 - $121 103%
Ahcccs $10 103%
Ahcccs Other $10 103%
Carefirst $10 103%
Devoted $10 103%
Fmc 30/70 $10 103%
Fmc Ihs $10 103%
Fmc Jail $10 103%
Health Choice $10 - $19 103%
Health Choice Arizona $10 103%
Health Choice Integrated Care $10 103%
Health Net Of Arizona $10 103%
Humana $10 - $135 103%
Medicare (plans) $10 103%
Mercy Care $10 103%
Mercy Care Advantage $10 103%
Mercy Care Rhba $10 103%
Nhi Out Of State Ahcccs $10 103%
Rehabilitation Hospital Of Northern Arizona $10 103%
Snf Fmc $10 103%
UnitedHealthcare $10 - $131 103%
University Of Arizona Health Plans $10 - $11 103%
Va Pccc Triwest $10 103%
Wellcare $10 103%
Wellcare By Allwell $10 103%
Ambetter / Centene $11 113%
Pnoa $14 144%
Naphcare $17 - $19 175%
Self Pay $71 - $142 731%
Self-Pay 50% Discount $71 731%
Blue Cross Blue Shield $83 - $104 855%
Workers Comp $92 947%
Copperpoint $104 1071%
Nau Athletic Department $114 1174%
Cigna $128 1318%
Fmc 90/10 $128 1318%
Rural Arizona Network Multiplan $128 1318%
United Behavioral Health $142 1462%
Auto Insurance $5,000 51493%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 North Beaver Street, Flagstaff, AZ 86001
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals