CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Saint Joseph Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $102
Cash Discount Price: Unavailable
vs. Medicare Baseline: 10.50x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Saint Joseph Hospital is $102. 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 10.50x the Medicare baseline. Located in 1375 E 19Th Ave, Denver, CO.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$102

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: $102 (1050%)

Ins. Median: $102 (1050% 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 1050% of the Medicare baseline (a markup of 950%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Cigna	$6 - $255	62%
Geha	$10 - $148	103%
Select Health	$10	103%
UnitedHealthcare	$10 - $148	103%
Blue Cross Blue Shield	$17 - $207	175%
Denv Hlth Med Plan	$25	257%
Kaiser Perm Hmo	$38 - $107	391%
Kaiser Self Funded	$47 - $107	484%
Kaiser Perm Ppo/Pos	$48 - $110	494%
Allegiance	$51 - $64	525%
Kaiser Mrp	$51 - $64	525%
Kaiser Snp	$51 - $64	525%
Aetna	$76 - $228	783%
Preferred One	$82 - $102	844%
Humana	$86 - $107	886%
Cofinity	$148 - $183	1524%
First Health Network	$148 - $183	1524%
Private Hlthcare Sys	$154 - $191	1586%
Multiplan Inc	$172 - $214	1771%
Midlands Choice	$199 - $247	2049%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 83036.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Saint Joseph Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 83036.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.