CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: St Joseph Health System, LLC

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $12
  • Cash Discount Price: $9
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at St Joseph Health System, LLC is $12. 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 1.24x the Medicare baseline. Located in 702 Van Buren St., Fort Wayne, IN.
Cash / Self-Pay
$9

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $12 (124%)
Cash: $9 (93% of Medicare)
Ins. Median: $12 (124% 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
Amish Aid $2 - $63 21%
Cigna $2 - $261 21%
Lutheran Preferred $2 - $157 21%
Self Pay $2 - $144 21%
Aetna $3 - $177 31%
Blue Cross Blue Shield $3 - $95 31%
Lutheran Network $3 - $144 31%
Php $3 - $104 31%
Three Rivers $3 - $117 31%
UnitedHealthcare $3 - $130 31%
Encore Ppo $4 - $235 41%
Sagamore $4 - $141 41%
First Health $5 - $196 51%
Multiplan $5 - $204 51%
Prime Health Services $5 - $196 51%
Advantage Health Solutions $6 - $217 62%
Align Network $6 - $209 62%
Allied Benefit Systems $6 - $235 62%
Frontpath Health Coalition $6 - $209 62%
Tricare $6 - $9 62%
Department Of Veterans Affairs $7 - $9 72%
Humana $7 - $10 72%
In Dept Of Correction $7 - $10 72%
Managed Health Services $7 - $19 72%
Medical Mutual Of Ohio $7 - $261 72%
Medicare (plans) $7 - $10 72%
Node Devoted Health Mcr Adv $7 - $10 72%
Node Hospice Non Par Agree $7 - $10 72%
Node Pphp Mcr Adv $7 - $10 72%
Node Va $7 - $10 72%
Parkview Healthplan Services $7 - $261 72%
Php Freedom Network $7 - $17 72%
Value Options $7 - $261 72%
Veterans Eval Services $7 - $10 72%
Us Department Of Labor $9 - $12 93%
Caresource $10 103%
Lutheran Advanced Network $10 - $15 103%
Medicaid / KanCare $10 103%
Encore Work Comp In $13 - $17 134%
Work Comp $14 - $19 144%
Encore Kba Epo $17 - $23 175%
Encore Kba Ppo $21 - $29 216%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 702 Van Buren St., Fort Wayne, IN 46802
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals