CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Intermountain Health Heber Valley Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $58
  • Cash Discount Price: $50
  • vs. Medicare Baseline: 5.97x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Intermountain Health Heber Valley Hospital is $58. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 5.97x the Medicare baseline. Located in 454 East Medical Way, Heber City, UT.
Cash / Self-Pay
$50

Average discount available for prompt cash payment at this facility.

Insurance Median
$58

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: $50 (515%)
Insurance Median: $58 (597%)
Cash: $50 (515% of Medicare)
Ins. Median: $58 (597% 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 597% of the Medicare baseline (a markup of 497%). 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 $10 - $59 103%
American Health $10 - $20 103%
Blue Cross Blue Shield $10 - $59 103%
Health Partners Of Nevada $10 - $20 103%
Health Plan Of Nevada $10 - $60 103%
Healthy U $10 - $60 103%
Humana $10 - $20 103%
Molina $10 - $60 103%
Selecthealth $10 - $60 103%
UnitedHealthcare $10 - $59 103%
Triwest $23 - $51 237%
Corporation Of The President $50 515%
Corvel Corporation $50 515%
Injury Care Of Nevada $50 515%
Wcf Insurance $50 515%
Byu Risk Management $57 587%
Cigna $57 - $59 587%
Medcare International $57 587%
Springtide $57 587%
Uofu $57 587%
Byu Athletics $58 597%
Campbell Scientific $58 597%
Emi Health $58 597%
Franklin County $58 597%
Ifit $58 597%
Juniper Systems $58 597%
Lw Miller $58 597%
Managed Care Admin $58 597%
Motivhealth $58 597%
Prodegi Corp Benefit $58 597%
Tanner Llc $58 597%
Utah Tech $58 597%
Wise Network $58 597%
Awh Connected $59 - $60 608%
Deseret Mutual $59 608%
Emi $59 608%
Intermountain Caregiver Plan $59 608%
Pehp $59 - $60 608%
Global Excel $60 618%
Health Utah $60 618%
Hygeia Corporation $60 618%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 454 East Medical Way, Heber City, UT 84032
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals