CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: St Francis Hospital & Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $13
  • Cash Discount Price: $36
  • vs. Medicare Baseline: 1.34x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at St Francis Hospital & Medical Center is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $36. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.34x the Medicare baseline. Located in 114 Woodland Street & 500 Blue Hills Avenue, Hartford, CT.
Cash / Self-Pay
$36

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $36 (371%)
Insurance Median: $13 (134%)
Cash: $36 (371% of Medicare)
Ins. Median: $13 (134% 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
Blue Cross Blue Shield $9 - $11 93%
UnitedHealthcare $10 103%
Aetna $10 - $13 103%
Medicare (plans) $10 103%
Geha $10 103%
Cigna $10 - $53 103%
Harvard Pilgrim Healthcare $10 103%
Cca Senior Care Options $10 103%
Blue Shield - Wa (Regence) $11 113%
Blue Shield - Ny Highmark Northeastern $11 113%
Unicare $11 113%
Wc Domestic $11 113%
Blue Shield - Id (Regence) $11 113%
Blue Shield - Ca $11 113%
Kaiser Domestic $11 113%
Blue Shield - Ny Highmark Western $11 113%
Blue Shield - PA (Highmark) $11 113%
Bcn Domestic $11 113%
Health Choices $11 113%
Pre-Employment $11 113%
Wellpoint $11 113%
Blue Benefit Administrators of Massachusetts $11 113%
Blue Distinction Transplant $11 113%
Blue Care Network $11 113%
Centivo $12 124%
Fallon Health $13 134%
Meritain $13 134%
Nippon Life Ins $13 134%
Allied Benefit Systems $13 134%
Gravie Admin Services $13 134%
Luminare Health $13 134%
1199 National Benefit Fund $13 134%
Hap $13 134%
Webtpa $13 134%
Connecticare $14 - $16 144%
Connecticut Dept of Correction $15 154%
Health Partners $16 165%
Magnacare $16 165%
Allegiance $16 165%
Innovative Health Plan II $20 206%
Health New England $36 371%
Pai $45 463%
PHCS $45 463%
Medi Share $45 463%
Trinity Health Share $45 463%
Dean Health $45 463%
Family Life Insurance Company $45 463%
Ghc Scw $45 463%
Manhattan Life $45 463%
Lifetime Benefit Solutions $45 463%
Pan-American Life $45 463%
Paramount HMO $45 463%
Christian Care Ministry $45 463%
Mvp $45 463%
Asrm - Reliance Standard Life Insurance $45 463%
Allied National Global Care $45 463%
International Benefit Administrators $45 463%
Multiplan $45 463%
Prime Health Services $46 474%
Health Smart $56 577%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 114 Woodland Street & 500 Blue Hills Avenue, Hartford, CT 06105
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals