CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Adventist Health Portland

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $12
  • Cash Discount Price: $15
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Adventist Health Portland is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.24x the Medicare baseline. Located in 10123 Se Market Street, Portland, OR.
Cash / Self-Pay
$15

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $15 (154%)
Insurance Median: $12 (124%)
Cash: $15 (154% of Medicare)
Ins. Median: $12 (124% 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
Aetna $1 - $8 10%
Healthnet Epo/Pos/Ppo $1 - $8 10%
Healthnet Hmo/Pos - All Other Plans $1 - $8 10%
Pacific Source Comm - All Plans $1 - $8 10%
Providence Hp - All Plans $1 - $8 10%
Healthcare Resources - All Plans $3 - $18 31%
Workers Comp $5 - $28 51%
Bc Premera First - All Plans $7 - $40 72%
Care Oregon - All Plans $8 82%
Ods - All Plans $8 82%
Worldventure - All Plans $8 - $48 82%
Regence Preferred Mcr Adv $9 - $52 93%
First Choice - All Plans $10 - $55 103%
Humana $10 103%
Kaiser Mcr Adv $10 103%
Moda Mcr Adv $10 103%
Multiplan - All Plans $10 - $60 103%
Phcs - All Plans $10 - $60 103%
UnitedHealthcare $10 - $120 103%
First Health-Coventry - All Plans $11 - $64 113%
Healthnet Mcr Adv $11 113%
Regence Mcr Adv $11 - $61 113%
National Provider Network - All Plans $12 - $70 124%
Health Payors Organization Ltd- All Plans $13 - $72 134%
Ah Employee Health Plan - All Plans $17 175%
Moda Conn Oebb/Syn Pebb $19 196%
Moda Affinity - All Other Plans $22 227%
Cigna $23 237%
Regence Ohsu Plus $24 247%
Kaiser - All Other Plans $25 257%
Moda Ohsu Ppo/Epo/Hmc $25 - $144 257%
Regence - All Other Plans $27 278%
Moda Select $30 309%
Moda Connexus $34 350%
Moda Synergy $36 371%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10123 Se Market Street, Portland, OR 97216
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals