CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Astera Health

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $73
  • Cash Discount Price: $68
  • vs. Medicare Baseline: 7.52x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Astera Health is $73. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 7.52x the Medicare baseline. Located in 421 11Th Street Nw, Wadena, MN.
Cash / Self-Pay
$68

Average discount available for prompt cash payment at this facility.

Insurance Median
$73

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: $68 (700%)
Insurance Median: $73 (752%)
Cash: $68 (700% of Medicare)
Ins. Median: $73 (752% 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 752% of the Medicare baseline (a markup of 652%). 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 Plus Pmap [40002] $19 - $5,128 196%
Ucare Pmap [30006] $35 - $1,691 360%
Blue Cross Blue Shield $38 - $5,128 391%
Health Partners [10045] $38 - $5,128 391%
Medica Nonpmap [10056] $38 - $7,494 391%
Medica Pmap [10057] $38 - $3,448 391%
Primewest Non Pmap [30004] $38 - $5,128 391%
Primewest Pmap [30003] $38 - $3,448 391%
Ucare Non Pmap [30007] $40 - $5,385 412%
Health Partners Pmap [10046] $48 494%
Ucare Commercial [10705] $67 - $72 690%
UnitedHealthcare $71 - $74 731%
Multiplan $77 793%
Sanford Health Plan [10120] $82 844%
Aetna $87 896%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 421 11Th Street Nw, Wadena, MN 56482
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals