CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Multicare Valley Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $12
  • Cash Discount Price: $44
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Multicare Valley Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $44. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.24x the Medicare baseline. Located in 12606 East Mission Avenue, Spokane Valley, WA.
Cash / Self-Pay
$44

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: $44 (453%)
Insurance Median: $12 (124%)
Cash: $44 (453% 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
Coordinated Care $3 31%
Molina $3 - $18 31%
UnitedHealthcare $3 - $11 31%
Wellpoint $3 31%
Community Health Plan Of Washington $4 - $16 41%
Aetna $10 - $12 103%
Blue Cross Blue Shield $10 103%
Premera $10 - $12 103%
Regence $10 103%
Wellcare $10 103%
Pacificsource $11 - $12 113%
Cigna $12 124%
Kaiser $12 124%
Regence/Asuris $15 154%
Ambetter / Centene $18 185%
First Choice $42 - $77 433%
First Health $79 814%
Multiplan/Phcs $79 814%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12606 East Mission Avenue, Spokane Valley, WA 99216
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals