CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Saint Mary's Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $17
  • Cash Discount Price: $29
  • vs. Medicare Baseline: 1.75x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Saint Mary's Hospital is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $29. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.75x the Medicare baseline. Located in 56 Franklin Street, Waterbury, CT.
Cash / Self-Pay
$29

Average discount available for prompt cash payment at this facility.

Insurance Median
$17

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: $29 (299%)
Insurance Median: $17 (175%)
Cash: $29 (299% of Medicare)
Ins. Median: $17 (175% 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%
Aetna $10 - $17 103%
Cca Senior Care Options $10 103%
Cigna $10 - $42 103%
Geha $10 103%
Harvard Pilgrim Healthcare $10 103%
Medicare (plans) $10 103%
UnitedHealthcare $10 - $52 103%
Bcn Domestic $11 113%
Blue Benefit Administrators of Massachusetts $11 113%
Blue Care Network $11 113%
Blue Distinction Transplant $11 113%
Blue Shield - Ca $11 113%
Blue Shield - Id (Regence) $11 113%
Blue Shield - Ny Highmark Northeastern $11 113%
Blue Shield - Ny Highmark Western $11 113%
Blue Shield - PA (Highmark) $11 113%
Blue Shield - Wa (Regence) $11 113%
Connecticare $11 113%
Health Choices $11 113%
Kaiser Domestic $11 113%
Pre-Employment $11 113%
Unicare $11 113%
Wc Domestic $11 113%
Wellpoint $11 113%
Centivo $12 124%
Connecticut Dept of Correction $13 134%
1199 National Benefit Fund $17 175%
Allied Benefit Systems $17 175%
Gravie Admin Services $17 175%
Hap $17 175%
Luminare Health $17 175%
Meritain $17 175%
Nippon Life Ins $17 175%
Webtpa $17 175%
Allegiance $20 206%
Claimdoc $20 206%
Diversified Administrators $20 206%
Health Partners $20 206%
Innovative Health Plan II $20 206%
Magnacare $20 206%
Carelon Behavioral Health $26 268%
Health New England $28 288%
Allied National Global Care $40 412%
Asrm - Reliance Standard Life Insurance $40 412%
Christian Care Ministry $40 412%
Dean Health $40 412%
Fallon Health $40 412%
Family Life Insurance Company $40 412%
Ghc Scw $40 412%
International Benefit Administrators $40 412%
Lifetime Benefit Solutions $40 412%
Manhattan Life $40 412%
Medi Share $40 412%
Multiplan $40 412%
Mvp $40 412%
PHCS $40 412%
Pai $40 412%
Pan-American Life $40 412%
Paramount HMO $40 412%
Trinity Health Share $40 412%
Prime Health Services $42 433%
Health Smart $44 453%
United Behavioral Health Eap $52 536%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 56 Franklin Street, Waterbury, CT 06706
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals