CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Holy Cross Hospital-Jordan Valley

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $91
Cash Discount Price: $77
vs. Medicare Baseline: 9.37x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Holy Cross Hospital-Jordan Valley is $91. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $77. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 9.37x the Medicare baseline. Located in 3580 West 9000 South, West Jordan, UT.

Cash / Self-Pay

$77

Average discount available for prompt cash payment at this facility.

Insurance Median

$91

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: $77 (793%)

Insurance Median: $91 (937%)

Cash: $77 (793% of Medicare)

Ins. Median: $91 (937% 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 937% of the Medicare baseline (a markup of 837%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$7 - $115	72%
Aetna	$8 - $163	82%
Cigna	$8 - $154	82%
Colorado Access	$8	82%
Denver Health	$8	82%
Health Choice	$8	82%
Molina	$8 - $83	82%
Rocky Mountain Health Plan	$8	82%
Uuhp	$8 - $23	82%
Humana	$10	103%
Medicare (plans)	$10	103%
Centura Employee Plan	$12	124%
Employer Direct Healthcare	$12	124%
UnitedHealthcare	$12 - $192	124%
Motivhealth	$13	134%
Pehp	$82 - $192	844%
Wise	$100 - $102	1030%
Deseret Mutual Benefit Administrators	$118	1215%
Select Health	$127	1308%
Multiplan	$133 - $175	1370%
Emi Health	$192	1977%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $77.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 83036.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Holy Cross Hospital-Jordan Valley is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 83036.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.