CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Essentia Health St Mary's Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $12
  • Cash Discount Price: $38
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Essentia Health St Mary's Medical Center is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.24x the Medicare baseline. Located in 402 East Second Street, Duluth, MN.
Cash / Self-Pay
$38

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: $38 (391%)
Insurance Median: $12 (124%)
Cash: $38 (391% 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
Medica Access $5 - $33 51%
Healthpartners Care Pmap $6 - $40 62%
Sanford Health Plan $6 - $45 62%
Blue Cross Blue Shield $7 - $76 72%
Blue Plus Pmap Pcc Prime $7 - $50 72%
Medica $8 - $57 82%
Medica Uplan $8 - $55 82%
Healthpartners $9 - $72 93%
Medica Choice $9 - $61 93%
Advocare/Security Health $10 103%
Freedom Blue Ppo $10 103%
Healthpartners Care Msho / Mcr Adv $10 103%
Imcare Msho (Ref Req) $10 103%
Imcare Msho Pcc Prime $10 103%
Imcare Msho Ref Req $10 103%
Itasca Med Care $10 103%
Medica Advantage Solutions $10 103%
Medica Msho/Dual Solutions $10 103%
Medica Prime Solution Group $10 103%
Medicare (plans) $10 103%
Nd Va Administration $10 103%
Platinum Blue / Vantage Blue $10 103%
Primewest $10 103%
Primewest Msho $10 103%
Secure Blue Msho $10 103%
Ubh Cost Plan $10 103%
Ubh Msho $10 103%
Ucare $10 - $66 103%
Ucare Msho $10 103%
UnitedHealthcare $10 - $73 103%
Cigna $11 - $72 113%
Healthpartners Pcc Prime $11 - $72 113%
Wea $11 - $77 113%
America'S Ppo $12 - $78 124%
Security Health $12 - $77 124%
Wps $12 - $84 124%
Aetna $13 - $85 134%
Healtheos $13 - $86 134%
Healthscope Benefits $13 - $85 134%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 402 East Second Street, Duluth, MN 55805
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals