CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Promedica Monroe Regional Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $12
Cash Discount Price: $42
vs. Medicare Baseline: 1.24x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Promedica Monroe Regional Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $42. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.24x the Medicare baseline. Located in 718 N Macomb St, Monroe, MI.

Cash / Self-Pay

$42

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: $42 (433%)

Insurance Median: $12 (124%)

Cash: $42 (433% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$5 - $36	51%
Meridian	$5	51%
Priority Health	$5 - $35	51%
Aetna	$6 - $10	62%
Molina Healthcare Of Michigan	$6	62%
UnitedHealthcare	$6 - $52	62%
Amerihealth	$8	82%
Paramount Healthcare Inc	$9 - $49	93%
Health Alliance Plan	$10 - $12	103%
Humana	$10	103%
Veterans Affairs	$10	103%
Frontpath	$37	381%
Encore Health Network	$45	463%
Health Ohio Network, Llc	$45	463%
Cofinity	$46	474%
Multiplan	$58	597%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $42.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 83036.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Promedica Monroe Regional Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 83036.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.