CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Cambridge Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $30
Cash Discount Price: $25
vs. Medicare Baseline: 3.09x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Cambridge Medical Center is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 3.09x the Medicare baseline. Located in 701 South Dellwood Avenue, Cambridge, MN.

Cash / Self-Pay

$25

Average discount available for prompt cash payment at this facility.

Insurance Median

$30

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: $25 (257%)

Insurance Median: $30 (309%)

Cash: $25 (257% of Medicare)

Ins. Median: $30 (309% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 309% of the Medicare baseline (a markup of 209%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Ucare Pmap (A B C D E G N O S U R H)	$7 - $10	72%
Aetna	$9 - $30	93%
Blue Cross Blue Shield	$10 - $69	103%
Hennepin Health	$10	103%
Medica	$10 - $39	103%
Medicaid / KanCare	$10	103%
Medicare (plans)	$10	103%
Scha Msho (D)	$10	103%
Medica Health System	$19 - $41	196%
Healthpartners	$25 - $34	257%
Medica Ubh (D)	$26 - $43	268%
UnitedHealthcare	$26 - $35	268%
Health Partners	$27 - $38	278%
Medica Mhps	$28 - $39	288%
Americas Ppo (Araz)(B D N O R S V)	$29 - $39	299%
Americas Ppo (Araz) (B D N H O R S)	$31 - $43	319%
First Health (A C E G H U B D N O R S)	$31 - $43	319%
All Other Contracted Care (A B C D E G H N O R S U)	$37 - $51	381%

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 $25.
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 Cambridge Medical Center 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.