CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Aspen Valley Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $152
Cash Discount Price: $153
vs. Medicare Baseline: 15.65x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Aspen Valley Hospital is $152. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $153. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 15.65x the Medicare baseline. Located in 401 Castle Creek Rd, Aspen, CO.

Cash / Self-Pay

$153

Average discount available for prompt cash payment at this facility.

Insurance Median

$152

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: $153 (1576%)

Insurance Median: $152 (1565%)

Cash: $153 (1576% of Medicare)

Ins. Median: $152 (1565% 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 1565% of the Medicare baseline (a markup of 1465%). 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
Aetna	$82 - $153	844%
Blue Cross Blue Shield	$82 - $142	844%
Humana	$82 - $145	844%
Medicare (plans)	$82 - $83	844%
Tricare	$82 - $153	844%
UnitedHealthcare	$82 - $153	844%
Veterans Administration [100068]	$82 - $83	844%
Cigna	$106 - $153	1092%
Allied Benefit Systems [100015]	$144 - $145	1483%
Geha [100039]	$144 - $145	1483%
Healthscope [100157]	$144 - $145	1483%
Aarp [100007]	$152 - $153	1565%
Aig Travel [100255]	$152 - $153	1565%
Aig [700029]	$152 - $153	1565%
Ameriben [100266]	$152 - $153	1565%
American Republic [100018]	$152 - $153	1565%
Amtrust North America [700042]	$152 - $153	1565%
Axa Travel [100256]	$152 - $153	1565%
Bankers Life Casualty [100022]	$152 - $153	1565%
Broadspire [700043]	$152 - $153	1565%
Bupa Global [100257]	$152 - $153	1565%
Ccmsi [700017]	$152 - $153	1565%
Champ Va [500001]	$152 - $153	1565%
Chp [300053]	$152 - $153	1565%
Chubb Services [700054]	$152 - $153	1565%
Companion Life Pivot Health [100258]	$152 - $153	1565%
Corvel [700058]	$152 - $153	1565%
Employee Benefit Management [100033]	$152 - $153	1565%
Equitable Life [100160]	$152 - $153	1565%
Esis Work Comp [700010]	$152 - $153	1565%
Freedom Life Insurance Company [100158]	$152 - $153	1565%
Gallagher Bassett Work Comp [700013]	$152 - $153	1565%
Generic Commercial [109999]	$152 - $153	1565%
Generic Other [509999]	$152 - $153	1565%
Generic Travel Insurance [109998]	$152 - $153	1565%
Generic Workers' Comp [709999]	$152 - $153	1565%
Gerber Life Insurance [100265]	$152 - $153	1565%
Global Excel [100259]	$152 - $153	1565%
Gmmi [100260]	$152 - $153	1565%
Hartford Work Comp [700055]	$152 - $153	1565%
Harvard Pilgrim Healthcare [100241]	$152 - $153	1565%
Health Net [100261]	$152 - $153	1565%
Imagine 360 [100043]	$152 - $153	1565%
Kaiser Permanente [100254]	$152 - $153	1565%
Liberty Healthshare [100262]	$152 - $153	1565%
Liberty Mutual Work Comp [700016]	$152 - $153	1565%
Marriott Claim [700056]	$152 - $153	1565%
Medi Share [100263]	$152 - $153	1565%
Medicaid / KanCare	$152 - $153	1565%
Mutual Of Omaha [100074]	$152 - $153	1565%
Owcp [700057]	$152 - $153	1565%
Physicians Mutual [100075]	$152 - $153	1565%
Pinnacol Assurance Wc [700059]	$152 - $153	1565%
Relations Insurance Kaiser [800004]	$152 - $153	1565%
Sedgwick [700027]	$152 - $153	1565%
Sentinel Security Life [100264]	$152 - $153	1565%
Skico Ortho Alternative Payer [100163]	$152 - $153	1565%
Transamerica [100097]	$152 - $153	1565%
Travelers Work Comp [700028]	$152 - $153	1565%
Tufts Health Plan [100268]	$152 - $153	1565%
United American Insurance [100119]	$152 - $153	1565%
Usaa Life Insurance Company [100155]	$152 - $153	1565%
Wea [100120]	$152 - $153	1565%

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 $153.
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 Aspen Valley 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.