CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: UW Health

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $10
  • Cash Discount Price: $36
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at UW Health is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $36. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.03x the Medicare baseline. Located in 1401 East State Street, Rockford, IL.
Cash / Self-Pay
$36

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: $36 (371%)
Insurance Median: $10 (103%)
Cash: $36 (371% 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 $4 - $104 41%
Blue Cross Blue Shield $4 - $72 41%
Humana $4 - $10 41%
Medicare (plans) $4 - $11 41%
Mychoice Wi Medical Adv $4 - $10 41%
UnitedHealthcare $4 - $16 41%
Quartz Fully Insured $12 - $50 124%
Quartz Aso $14 - $79 144%
Hfn $19 - $114 196%
Ecoh $73 - $114 752%
Alliance Premier Network $79 814%
The Alliance $102 1050%
Wps Ppo $112 1153%
Cigna $115 1184%
Beloit Healt System $130 1339%
Mercycare $135 1390%
First Health/Coventry $142 1462%
Health Payment Systems $169 1740%
Healthsmart $169 1740%
Sheboygan Employers Health Network $180 1854%
Multiplan $201 2070%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1401 East State Street, Rockford, IL 61104
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals