CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: McKenzie-Willamette Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $14
  • Cash Discount Price: $86
  • vs. Medicare Baseline: 1.44x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at McKenzie-Willamette Medical Center is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $86. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.44x the Medicare baseline. Located in 1460 G Street, Springfield, OR.
Cash / Self-Pay
$86

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: $86 (886%)
Insurance Median: $14 (144%)
Cash: $86 (886% 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
Healthnet Mcd $8 82%
Pacificsource Hlthier Or $8 82%
Pacificsource Mcaid $8 82%
Trillium Mcaid-All Plans $8 82%
Healthnet Mcr Adv $10 103%
Kaiser Mcr Adv $10 103%
UnitedHealthcare $13 134%
Pacificsource Individual $14 144%
Pacificsource Non-Individ $14 144%
Pacificsource Psn/Voyager - All Other Plans $14 144%
Providence Hp Pebb $19 196%
Blue Cross Blue Shield $29 299%
Kaiser Mcaid $32 330%
Healthnet Comm - All Other Plans $73 752%
Providence Hp - All Other Plans $93 958%
Cigna $99 1020%
Aetna $115 1184%
Kaiser Comm - All Other Plans $387 3986%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1460 G Street, Springfield, OR 97477
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals