CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: M Health Fairview University of Mn Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $36
  • Cash Discount Price: $26
  • vs. Medicare Baseline: 3.71x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at M Health Fairview University of Mn Medical Center is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 3.71x the Medicare baseline. Located in 2450 Riverside Avenue, Minneapolis, MN.
Cash / Self-Pay
$26

Average discount available for prompt cash payment at this facility.

Insurance Median
$36

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: $26 (268%)
Insurance Median: $36 (371%)
Cash: $26 (268% of Medicare)
Ins. Median: $36 (371% 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 371% of the Medicare baseline (a markup of 271%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Blue Cross Blue Shield $10 - $45 103%
Health Partners $10 - $86 103%
Hennepin Health $10 - $11 103%
Itasca Medical Care $10 103%
Medica $10 - $26 103%
Primewest $10 103%
Sanford Health Plan $10 - $45 103%
Security Health Plan $10 - $58 103%
South Country Health Alliance $10 103%
Ucare $10 - $22 103%
UnitedHealthcare $10 - $44 103%
Wellcare $10 103%
Cigna $15 - $43 154%
Emerging Therapies $17 - $49 175%
Aetna $18 - $52 185%
Humana $18 - $50 185%
Interlink $20 - $58 206%
America'S Ppo $21 - $55 216%
First Health $22 - $63 227%
Multiplan $23 - $65 237%
Private Healthcare Systems $23 - $65 237%
Wisconsin Physician Services $24 - $69 247%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2450 Riverside Avenue, Minneapolis, MN 55454
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals