CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Prov Sacred Hrt Med Ctr & Childs Hosp.

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $18
  • Cash Discount Price: $80
  • vs. Medicare Baseline: 1.85x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Prov Sacred Hrt Med Ctr & Childs Hosp. is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $80. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.85x the Medicare baseline. Located in 101 West 8Th Avenue, Spokane, WA.
Cash / Self-Pay
$80

Average discount available for prompt cash payment at this facility.

Insurance Median
$18

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: $80 (824%)
Insurance Median: $18 (185%)
Cash: $80 (824% of Medicare)
Ins. Median: $18 (185% 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 $10 - $57 103%
Blue Cross Blue Shield $10 - $17 103%
Blue Shield $10 103%
Kaiser $10 - $24 103%
UnitedHealthcare $10 - $32 103%
Community Health Plan $11 113%
Molina $16 165%
Coordinated Care $18 185%
Cigna $21 216%
Providence Health Plan $25 257%
First Choice $35 360%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 West 8Th Avenue, Spokane, WA 99220
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals