CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Buena Vista Regional Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $16
  • Cash Discount Price: $14
  • vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Buena Vista Regional Medical Center is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.65x the Medicare baseline. Located in 1525 West 5Th Street, Storm Lake, IA.
Cash / Self-Pay
$14

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $14 (144%)
Insurance Median: $16 (165%)
Cash: $14 (144% of Medicare)
Ins. Median: $16 (165% 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
Champus $9 - $10 93%
Champva $9 - $10 93%
Health Partners $9 - $19 93%
Medicare (plans) $9 - $19 93%
UnitedHealthcare $9 - $19 93%
Wellcare $9 - $19 93%
American Postal Workers $14 - $15 144%
Avera $14 - $16 144%
Cigna $15 - $17 154%
Aetna $16 - $19 165%
First Administrators $16 - $18 165%
Golden Rule $16 - $18 165%
Great West $16 - $18 165%
Healthscope $16 - $18 165%
Medical Associates $16 - $18 165%
Meritain $16 - $18 165%
Midlands Choice $16 - $18 165%
Ambetter / Centene $17 - $19 175%
Blue Cross Blue Shield $17 - $19 175%
Humana $17 - $19 175%
Iowa Health Advantage $17 - $19 175%
Wellpoint $17 - $19 175%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1525 West 5Th Street, Storm Lake, IA 50588
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals