CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Kossuth Regional Health Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $90
Cash Discount Price: $90
vs. Medicare Baseline: 9.27x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Kossuth Regional Health Center is $90. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $90. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 9.27x the Medicare baseline. Located in 1515 South Phillips Street, Algona, IA.

Cash / Self-Pay

$90

Average discount available for prompt cash payment at this facility.

Insurance Median

$90

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: $90 (927%)

Insurance Median: $90 (927%)

Cash: $90 (927% of Medicare)

Ins. Median: $90 (927% 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 927% of the Medicare baseline (a markup of 827%). 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
Blue Cross Blue Shield	$6 - $7	62%
Humana	$42 - $44	433%
Mercy One - All Plans	$42 - $43	433%
Va Ccn - All Plans	$42 - $43	433%
Amerigroup Mcr Adv - All Other Plans	$43 - $44	443%
UnitedHealthcare	$43 - $87	443%
Health Partners New Bus - All Other Plans	$77 - $80	793%
Midlands Choice - All Plans	$77 - $80	793%
Medical Associates - All Plans	$94 - $97	968%
Preferred Health - All Plans	$94 - $97	968%
Aetna	$102 - $111	1050%
Multiplan - All Plans	$104 - $108	1071%
Health Partners Exisiting Bus	$107 - $111	1102%
Molina Mcaid/Chip - All Plans	$113 - $117	1164%
Amerigroup Mcaid	$114 - $119	1174%

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 $90.
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 Kossuth Regional Health Center 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.