CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Mid-Columbia Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $29
  • Cash Discount Price: $27
  • vs. Medicare Baseline: 2.99x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Mid-Columbia Medical Center is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $27. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 2.99x the Medicare baseline. Located in 1700 E 19Th Street, The Dalles, OR.
Cash / Self-Pay
$27

Average discount available for prompt cash payment at this facility.

Insurance Median
$29

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: $27 (278%)
Insurance Median: $29 (299%)
Cash: $27 (278% of Medicare)
Ins. Median: $29 (299% 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 299% of the Medicare baseline (a markup of 199%). 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
Aetna $3 - $74 31%
Moda Mcr Adv $3 - $10 31%
Multiplan/Phcs - All Plans $3 - $77 31%
Pacific Source - All Plans $3 - $8 31%
Blue Cross Blue Shield $10 - $257 103%
Community Hp Mcr Adv - All Plans $10 103%
Healthnet Mcr Adv $10 - $19 103%
Humana $10 103%
Molina Mcr Adv $10 - $16 103%
Tricare $10 103%
Va Ccn Triwest - All Plans $10 - $24 103%
Molina - All Other Plans $11 - $16 113%
Devoted Mcr Adv - All Plans $14 - $87 144%
Employee Health Plan - All Plans $17 - $22 175%
Molina Mcaid $17 - $42 175%
First Choice - All Plans $26 - $77 268%
Amerigroup Mcaid - All Plans $32 - $42 330%
Coordinated Care Mcaid - All Plans $32 - $42 330%
Norocor - All Plans $40 412%
UnitedHealthcare $42 - $77 433%
Moda Health Plan - All Other Plans $48 - $53 494%
Providence Ppo - All Plans $58 - $77 597%
Healthscape - All Plans $64 659%
Coventry - All Plans $72 742%
First Health - All Plans $72 742%
Cigna $76 783%
Trpn - Three Rivers - All Plans $77 793%
Ahp - Americas Hlth Plan - All Plans $78 803%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 E 19Th Street, The Dalles, OR 97058
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals