CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Holland Community Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $15
  • Cash Discount Price: $21
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Holland Community Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.54x the Medicare baseline. Located in 602 Michigan Ave, Holland, MI.
Cash / Self-Pay
$21

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $21 (216%)
Insurance Median: $15 (154%)
Cash: $21 (216% of Medicare)
Ins. Median: $15 (154% 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
Multiplan - All Plans $2 - $43 21%
Nomi Health - All Plans $2 - $84 21%
UnitedHealthcare $2 - $50 21%
Molina Mcaid - All Plans $6 - $16 62%
Ph Mcaid $6 - $16 62%
Meridian Mcaid Profee Only-All Plans $8 82%
Life Circles-All Plans $9 93%
Aetna $10 - $13 103%
Cigna $10 - $27 103%
Health Alliance Mcr Adv $10 103%
Longevity Health Plan-All Plans $10 103%
Ph Mcr Adv $10 103%
Priority Health - All Other Plans $10 - $30 103%
Va Ccn - All Plans $10 103%
Blue Cross Blue Shield $11 - $15 113%
Cofinity -All Plans $11 - $12 113%
First Health-All Plans $13 - $44 134%
Asr - All Plans $15 - $25 154%
Blue Care Network - All Plans $15 154%
Health Alliance Ahl - All Other Plans $15 - $25 154%
Health Alliance Hmo $15 - $25 154%
Benefit Source Inc-All Plans $16 - $44 165%
Sisco Epi $16 165%
Sisco-All Other Plans $16 - $17 165%
Usa Managed Care-All Plans $18 - $44 185%
Integrated Health Plans-All Plans $19 - $47 196%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 602 Michigan Ave, Holland, MI 49423
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals