CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Eastern Idaho Regional Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $94
  • Cash Discount Price: $207
  • vs. Medicare Baseline: 9.68x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Eastern Idaho Regional Medical Center is $94. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $207. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 9.68x the Medicare baseline. Located in 3100 Channing Way, Idaho Falls, ID.
Cash / Self-Pay
$207

Average discount available for prompt cash payment at this facility.

Insurance Median
$94

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: $207 (2132%)
Insurance Median: $94 (968%)
Cash: $207 (2132% of Medicare)
Ins. Median: $94 (968% 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 968% of the Medicare baseline (a markup of 868%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $8 - $294 82%
Molina $8 - $10 82%
Humana $10 - $260 103%
Prime Health $10 - $263 103%
Regence Blue Shield $10 103%
Rexburg Care And Rehab $10 103%
Triwest Healthcare Alliance $10 103%
United $10 - $179 103%
Veteran'S Administration $10 103%
Regence $15 154%
Select Health $32 - $94 330%
Select Health Ichn Brightpath $32 - $104 330%
Select Health Idaho (Eirmc Only) $34 - $99 350%
Aetna $41 - $151 422%
Doug Andrus Distributing $42 - $124 433%
Pacificsource Health $44 - $166 453%
University Of Utah $44 - $130 453%
Mountain Health Co-Op $53 - $232 546%
Cigna $58 - $170 597%
First Choice Health Of Washington $63 - $186 649%
Moda $66 - $193 680%
Dmba $68 - $199 700%
Geha Ppo Usa $84 - $247 865%
Multiplan $88 - $278 906%
First Choice Of The Midwest $95 - $278 978%
Interwest Health $95 - $278 978%
St. John'S Health Network $95 - $278 978%
Coventry First Health $96 - $281 989%
Shashone-Bannock Tribal Health $105 - $309 1081%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Channing Way, Idaho Falls, ID 83404
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals