CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Astria Sunnyside Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $159
Cash Discount Price: $119
vs. Medicare Baseline: 16.37x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Astria Sunnyside Hospital is $159. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $119. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 16.37x the Medicare baseline. Located in 1016 Tacoma Avenue, Sunnyside, WA.

Cash / Self-Pay

$119

Average discount available for prompt cash payment at this facility.

Insurance Median

$159

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: $119 (1226%)

Insurance Median: $159 (1637%)

Cash: $119 (1226% of Medicare)

Ins. Median: $159 (1637% 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 1637% of the Medicare baseline (a markup of 1537%). 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
Medicare (plans)	$9 - $10	93%
Aetna	$10 - $205	103%
Healthcomp_Ihs	$10	103%
Humana	$10 - $210	103%
Tricare	$10	103%
Va	$10	103%
Medicaid / KanCare	$46 - $71	474%
Molina	$46 - $57	474%
Regence	$97 - $120	999%
Cigna	$113 - $140	1164%
Li	$115 - $143	1184%
First_Choice	$141 - $175	1452%
Tpsc	$147 - $182	1514%
Kaiser	$148 - $183	1524%
Premera	$153 - $190	1576%
UnitedHealthcare	$160 - $198	1648%
Fhpw	$165 - $205	1699%
Healthcomp	$169 - $210	1740%
Bcchp	$188 - $233	1936%
Great_Rivers	$188 - $233	1936%
Zenith	$188 - $233	1936%

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 $119.
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 Astria Sunnyside 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.