CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Lincoln Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $115
Cash Discount Price: $129
vs. Medicare Baseline: 11.84x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Lincoln Hospital is $115. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $129. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 11.84x the Medicare baseline. Located in 10 Nichols Street, Davenport, WA.

Cash / Self-Pay

$129

Average discount available for prompt cash payment at this facility.

Insurance Median

$115

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: $129 (1329%)

Insurance Median: $115 (1184%)

Cash: $129 (1329% of Medicare)

Ins. Median: $115 (1184% 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 1184% of the Medicare baseline (a markup of 1084%). 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
Labor & Industries - All Plans	$14	144%
Ambetter / Centene	$67	690%
Molina Hlthy Options	$67	690%
UnitedHealthcare	$67 - $127	690%
Amerigroup Mcaid - All Plans	$71	731%
Aetna	$81 - $137	834%
Indian Hlth Services - All Plans	$81	834%
Tricare	$81	834%
Va Ccn - All Plans	$81	834%
Cigna	$110	1133%
Molina Exchange-All Other Plans	$114	1174%
Focus Healthcare Mgmt - All Plans	$115	1184%
Blue Cross Blue Shield	$127	1308%
Uniform Medical Plan-All Plans	$127	1308%
First Health Coventry-All Plans	$128	1318%
Health Management Network-All Plans	$129	1329%
Three Rivers-All Plans	$129	1329%
Asuris Nw Health-All Plans	$132	1359%
Multiplan-All Plans	$137	1411%
Physician Hosp Comm Org-All Plans	$137	1411%
First Choice Health- All Plans	$139	1432%

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 $129.
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 Lincoln Hospital 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.