CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Incline Village Community Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $165
  • Cash Discount Price: $183
  • vs. Medicare Baseline: 16.99x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Incline Village Community Hospital is $165. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $183. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 16.99x the Medicare baseline. Located in 880 Alder Street, Incline Village, NV.
Cash / Self-Pay
$183

Average discount available for prompt cash payment at this facility.

Insurance Median
$165

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: $183 (1885%)
Insurance Median: $165 (1699%)
Cash: $183 (1885% of Medicare)
Ins. Median: $165 (1699% 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 1699% of the Medicare baseline (a markup of 1599%). 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 $9 - $165 93%
Medicare (plans) $71 731%
Aetna $161 1658%
Prominence Healthfirst - All Plans $161 1658%
Admar Multiplan - All Plans $165 1699%
First Health - All Plans $165 1699%
Great West/One Health - All Plans $165 1699%
Hometown Hp - All Plans $165 1699%
Humana $165 1699%
Interplan - All Plans $165 1699%
Multiplan - All Plans $165 1699%
Phcs - All Plans $165 1699%
UnitedHealthcare $165 1699%
Cigna $168 1730%
Beech Street/Capp Care - All Plans $174 1792%
Healthnet - All Plans $174 1792%
Uhn - All Plans $174 1792%
Sierra Health - All Plans $178 1833%
Ca Hlth And Wellness - All Plans $187 1926%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 880 Alder Street, Incline Village, NV 89451
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals