CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Snoqualmie Valley Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $38
Cash Discount Price: $50
vs. Medicare Baseline: 3.91x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Snoqualmie Valley Hospital is $38. 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 3.91x the Medicare baseline. Located in 9801 Frontier Ave Se, Snoqualmie, WA.

Cash / Self-Pay

$50

Average discount available for prompt cash payment at this facility.

Insurance Median

$38

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: $38 (391%)

Cash: $50 (515% of Medicare)

Ins. Median: $38 (391% 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 391% of the Medicare baseline (a markup of 291%). 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
Blue Shield Of Wa Regence	$16	165%
Aetna	$36 - $50	371%
Amerigroup Wellpoint	$36 - $42	371%
Blue Shield Of Wa Regence Mcr Adv	$36	371%
Community Health Plan Of Wa	$36 - $37	371%
Humana	$36	371%
Medicare (plans)	$36	371%
Molina Healthcare Of Washington Mcr Adv	$36	371%
Molina Healthcare Of Washington	$37	381%
UnitedHealthcare	$37 - $79	381%
Washington Coordinated Care	$37 - $43	381%
Community Health Plan Of Wa Mcd Rep	$40	412%
Medicaid / KanCare	$40	412%
Molina Healthcare Of Washington Mcd Rep	$43	443%
Blue Cross Blue Shield	$51	525%
Kaiser Foundation Health Plan Of The Northwest	$54	556%
First Choice Health Network	$60	618%
Cigna	$69	711%

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 $50.
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 Snoqualmie Valley 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.