CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: The Medical Center of Aurora & South Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $28
  • Cash Discount Price: $1,195
  • vs. Medicare Baseline: 2.88x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at The Medical Center of Aurora & South Hospital is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,195. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 2.88x the Medicare baseline. Located in 1501 S Potomac St, Aurora, CO.
Cash / Self-Pay
$1,195

Average discount available for prompt cash payment at this facility.

Insurance Median
$28

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: $1,195 (12307%)
Insurance Median: $28 (288%)
Cash: $1,195 (12307% of Medicare)
Ins. Median: $28 (288% 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 288% of the Medicare baseline (a markup of 188%). 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
Cigna $5 - $764 51%
Aetna $10 - $631 103%
Blue Cross Blue Shield $10 - $884 103%
Bright Health $10 - $358 103%
Delaware Life Insurance $10 103%
Devoted Health $10 103%
Humana $10 103%
Kaiser $10 - $424 103%
Mutual Of Omaha $10 103%
Rocky Mountain Health $10 103%
Rocky Mountain Health Plan $10 103%
Total Longterm Care $10 103%
Triwest Health Alliance $10 103%
United $10 - $538 103%
Wellcare $10 103%
Pinnacol Workers Comp $27 278%
Multiplan $28 - $1,075 288%
Vail Health $182 1874%
Colorado Program For Children With Special Needs $502 5170%
Western Plains Community Health $776 7992%
Northcare $836 8610%
Physician Health Partners $836 8610%
Medical Development International $956 9846%
Prime Health $1,075 11071%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1501 S Potomac St, Aurora, CO 80012
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals