CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: OHSU Hospital and Clinics

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $14
  • Cash Discount Price: $40
  • vs. Medicare Baseline: 1.44x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at OHSU Hospital and Clinics is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $40. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.44x the Medicare baseline. Located in 3181 Sw Sam Jackson Park Road, Portland, OR.
Cash / Self-Pay
$40

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $40 (412%)
Insurance Median: $14 (144%)
Cash: $40 (412% of Medicare)
Ins. Median: $14 (144% 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
Community Health Plan Of Washington $3 - $154 31%
Care Oregon $8 - $121 82%
Intercommunity Health Network $8 - $88 82%
Kaiser Foundation Hospitals $8 - $110 82%
Medicare (plans) $8 - $130 82%
Moda $8 - $116 82%
Pacific Source $8 - $121 82%
Tuality Health $9 - $72 93%
Aetna $10 - $110 103%
Coventry First Health $10 - $82 103%
Humana $10 - $117 103%
Samaritan Health Plan $10 - $275 103%
Trillium $10 - $110 103%
UnitedHealthcare $10 - $117 103%
First Choice $11 - $83 113%
Health Net Health Plan Of Oregon, Inc. $11 - $110 113%
Providence Health Plan $12 - $29 124%
Blue Cross Blue Shield $14 - $33 144%
Cigna $14 - $28 144%
Molina Exchange $14 - $110 144%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3181 Sw Sam Jackson Park Road, Portland, OR 97239
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals