CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: St Joseph's Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $14
  • Cash Discount Price: $11
  • vs. Medicare Baseline: 1.44x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at St Joseph's Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.44x the Medicare baseline. Located in 12866 Troxler Avenue, Highland, IL.
Cash / Self-Pay
$11

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $11 (113%)
Insurance Median: $14 (144%)
Cash: $11 (113% of Medicare)
Ins. Median: $14 (144% 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 $3 - $15 31%
UnitedHealthcare $3 - $15 31%
Sae Hospice $3 - $15 31%
Clear Spring Health of Illinois $3 - $15 31%
Molina Healthcare $3 - $15 31%
Humana $3 - $15 31%
Blue Cross Blue Shield $3 - $15 31%
Amish Community $4 41%
Naphcare $6 - $32 62%
Celtic Insurance Company $7 - $15 72%
Claim Doc $8 - $38 82%
Hopetrust $8 - $15 82%
Meridian Health Plan $9 93%
Wellfirst $10 103%
First Health $11 113%
Multiplan/Phcs $13 134%
Healthlink $13 134%
Healthcare Finest Network (Hfn) $14 144%
Provider Network of America $14 144%
Illinois Breast and Cervical Cancer Program $15 154%
Healthscope $15 154%
Caterpillar, Inc. $15 154%
Consociate Group $15 154%
Qtc Medical Group of Illinois $15 154%
Mental Health Network $15 154%
Current Health Solutions $15 154%
Health Alliance Medical Plans $15 154%
Interplan $15 154%
Cigna $15 154%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12866 Troxler Avenue, Highland, IL 62249
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals