CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Intermountain Health St. Mary's Regional Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $85
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 8.75x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Intermountain Health St. Mary's Regional Hospital is $85. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 8.75x the Medicare baseline. Located in 2635 N 7Th St, Grand Junction, CO.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$85

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%)
Insurance Median: $85 (875%)
Ins. Median: $85 (875% 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 875% of the Medicare baseline (a markup of 775%). 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.

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
Geha $10 - $110 103%
Select Health $10 103%
UnitedHealthcare $10 - $110 103%
Blue Cross Blue Shield $23 - $47 237%
Monument Health $51 - $62 525%
Cigna $62 - $89 639%
Allegiance $72 - $89 742%
Aetna $76 - $110 783%
Kaiser Perm Ppo/Pos $82 - $101 844%
Meritain Health $85 - $104 875%
Cofinity $89 - $110 917%
First Health Network $89 - $110 917%
Humana $89 - $110 917%
Private Hlthcare Sys $94 - $116 968%
Public Employees Health $98 - $121 1009%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2635 N 7Th St, Grand Junction, CO 81501
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals