CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Barnes Jewish Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $35
Cash Discount Price: $34
vs. Medicare Baseline: 3.60x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Barnes Jewish Hospital is $35. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $34. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 3.60x the Medicare baseline. Located in One Barnes-Jewish Hospital Plaza, Saint Louis, MO.

Cash / Self-Pay

$34

Average discount available for prompt cash payment at this facility.

Insurance Median

$35

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: $34 (350%)

Insurance Median: $35 (360%)

Cash: $34 (350% of Medicare)

Ins. Median: $35 (360% 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 360% of the Medicare baseline (a markup of 260%). 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
UnitedHealthcare	$10 - $42	103%
Healthscope Benefits [258]	$12 - $36	124%
Cigna	$14 - $45	144%
Mercy Behavioral Health [573]	$14	144%
Consociate [478]	$18	185%
Sarah Bush Lincoln [636]	$18	185%
Aetna	$19 - $42	196%
Allied Benefits [498]	$19 - $42	196%
Coresource [497]	$19	196%
Fmh Benefit Service Inc [222]	$19	196%
Mail Handlers [495]	$19	196%
Apwu Health Plan [216]	$23	237%
Nalc Health Benefit Plan [242]	$23	237%
Priority Health [648]	$23	237%
Healthlink [225]	$27 - $42	278%
Blue Cross Blue Shield	$30 - $49	309%
Cox Health Systems Insurance Company [220]	$31 - $36	319%
Health Alliance [224]	$31	319%
Hope Trust [806]	$32	330%
Humana	$32	330%
Med-Pay [480]	$36 - $42	371%
Unicare [568]	$36 - $42	371%
Beechstreet [551]	$42	433%
Detego Health [868]	$42	433%
First Health Commercial [734]	$42	433%
Health Systems Inc [620]	$42	433%
Healthcare Sol Mercy [609]	$42	433%
Multiplan Commercial [737]	$42	433%
Multiplan [240]	$42	433%
Phcs [244]	$42 - $45	433%
Preferred Health Professionals [561]	$42	433%
Medica [661]	$45	463%
Hfn [563]	$48	494%

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 $34.
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 Barnes Jewish Hospital 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.