CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Montrose Regional Health

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $11
  • Cash Discount Price: $62
  • vs. Medicare Baseline: 1.13x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Montrose Regional Health is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.13x the Medicare baseline. Located in 800 S 3Rd St, Montrose, CO.
Cash / Self-Pay
$62

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $62 (639%)
Insurance Median: $11 (113%)
Cash: $62 (639% of Medicare)
Ins. Median: $11 (113% 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
United Rocky Mountain Mcaid $4 41%
United Rocky Mountain Chp-All Other Plans $5 - $66 51%
Blue Cross Blue Shield $10 - $144 103%
Humana $10 - $145 103%
Medicare (plans) $10 103%
Montrose Community Healthplan-All Plans $10 - $130 103%
Cigna $11 - $145 113%
Multiplan-All Plans $11 - $145 113%
Sloans Lake Managed Care-All Plans $11 - $146 113%
Three Rivers-All Plans $11 - $145 113%
Uchpa - All Plans $11 - $145 113%
United Rocky Mountain Private Plan $11 - $142 113%
United Rocky Mountain Self Insured $11 - $145 113%
UnitedHealthcare $11 - $145 113%
Western Healthcare Alliance-All Plans $11 - $138 113%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 S 3Rd St, Montrose, CO 81401
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals