CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Essentia Health Fosston

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $13
  • Cash Discount Price: $42
  • vs. Medicare Baseline: 1.34x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Essentia Health Fosston is $13. 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 1.34x the Medicare baseline. Located in 900 Hilligoss Boulevard Se, Fosston, MN.
Cash / Self-Pay
$42

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $13 (134%)
Cash: $42 (433% of Medicare)
Ins. Median: $13 (134% 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
Healthpartners Care Pmap $6 - $39 62%
Medica Access $6 - $62 62%
Sanford Health Plan $6 - $45 62%
Advocare/Security Health $8 - $50 82%
Blue Cross Blue Shield $8 - $87 82%
Blue Plus Pmap Pcc Prime $8 - $87 82%
Freedom Blue Ppo $8 - $50 82%
Healthpartners Care Msho / Mcr Adv $8 - $50 82%
Imcare Msho Pcc Prime $8 - $50 82%
Imcare Msho Ref Req $8 - $50 82%
Medica Advantage Solutions $8 - $50 82%
Medica Msho/Dual Solutions $8 - $50 82%
Medica Prime Solution Group $8 - $50 82%
Medicare (plans) $8 - $50 82%
Nd Va Administration $8 - $50 82%
Platinum Blue/Vantage Blue $8 - $50 82%
Primewest Msho $8 - $50 82%
Secure Blue Msho $8 - $50 82%
Ubh Cost Plan $8 - $50 82%
Ubh Msho $8 - $50 82%
Ucare Msho $8 - $50 82%
UnitedHealthcare $8 - $90 82%
Healthpartners $9 - $66 93%
Cigna $10 - $66 103%
Healthpartners Pcc Prime $10 - $66 103%
Itasca Med Care $10 103%
Primewest $10 103%
Ucare $10 - $66 103%
Wea $11 - $77 113%
America'S Ppo $12 - $78 124%
Medica $12 - $88 124%
Medica Uplan $12 - $83 124%
Wps $12 - $84 124%
Aetna $13 - $85 134%
Medica Choice $14 - $90 144%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 900 Hilligoss Boulevard Se, Fosston, MN 56542
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals