CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Northwest Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $12
  • Cash Discount Price: $213
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Northwest Medical Center is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $213. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.24x the Medicare baseline. Located in 6200 North La Cholla Boulevard, Tucson, AZ.
Cash / Self-Pay
$213

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $213 (2194%)
Insurance Median: $12 (124%)
Cash: $213 (2194% of Medicare)
Ins. Median: $12 (124% 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
Department Of Veterans Affairs $9 93%
Tricare $9 93%
UnitedHealthcare $9 - $356 93%
Aetna $10 - $320 103%
Blue Cross Blue Shield $10 - $107 103%
Cigna $10 - $16 103%
Fresenius Health $10 103%
Humana $10 103%
Magellan $10 103%
Medicaid / KanCare $10 103%
Medicare (plans) $10 103%
Node Banner Mcr Adv $10 103%
Node Caremore Mcr Adv $10 103%
Node Clover Health Mcr Adv $10 103%
Node Devoted Health Mcr Adv $10 103%
Node Non Par Hospice Agree $10 103%
Node Va $10 103%
Pascua Yaqui Tribe $10 103%
Scan Health Plan $10 103%
Triwest $10 103%
Veterans Eval Services $10 103%
Wellcare $10 103%
Node Us Dept Of Labor $12 124%
Ambetter / Centene $14 144%
Node Health Choice Health Exchange $14 144%
Health Net $15 154%
Node Fusion Network $17 175%
Node J Allen Inmate Health Svcs $18 185%
Seven Corners $22 227%
Self Pay $171 - $256 1761%
First Health Coventry $373 3841%
Coventry Medical Center $427 4398%
Multiplan $590 6076%
Prime Health $604 6220%
Healthsmart $640 6591%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6200 North La Cholla Boulevard, Tucson, AZ 85741
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals