CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Saint Francis Hospital-Evanston

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $10
  • Cash Discount Price: $9
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Saint Francis Hospital-Evanston is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.03x the Medicare baseline. Located in 355 Ridge Ave, Evanston, IL.
Cash / Self-Pay
$9

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $9 (93%)
Insurance Median: $10 (103%)
Cash: $9 (93% of Medicare)
Ins. Median: $10 (103% 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
Aetna $6 - $15 62%
Blue Cross Blue Shield $6 - $14 62%
Cigna $6 - $41 62%
Countycare $6 62%
Humana $6 - $11 62%
Medicaid / KanCare $6 62%
Meridian $6 - $10 62%
Molina $6 - $15 62%
Celtic (Wellcare) $10 103%
Clear Spring Health Of Illinois $10 103%
Devoted Health $10 103%
Essential Health Partners $10 - $11 103%
Illinois Physicians Alliance $10 103%
Longevity Health Plan Of Illinois $10 103%
Medicare (plans) $10 103%
Provider Partners Health Plan (Pphp) $10 103%
Ravenswood Physicians Associates Ipa $10 103%
Resurrection Physicians Provider Group Ipa $10 - $13 103%
Self-Pay $10 103%
Tricare $10 103%
UnitedHealthcare $10 - $12 103%
Zing Health Provider Network $10 103%
Access Community Health Network $12 124%
Imagine Health Network, Inc. $14 144%
Clifton Health Systems $15 154%
Ambetter / Centene $16 165%
Hfn Inc (Healthcare Finest Network) $96 989%
Coventry $98 1009%
Workers Comp $98 1009%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 355 Ridge Ave, Evanston, IL 60202
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals