CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Medical Center Enterprise

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $10
  • Cash Discount Price: $199
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Medical Center Enterprise is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $199. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.03x the Medicare baseline. Located in 400 N Edwards Street, Enterprise, AL.
Cash / Self-Pay
$199

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $199 (2049%)
Insurance Median: $10 (103%)
Cash: $199 (2049% of Medicare)
Ins. Median: $10 (103% 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
Medicaid / KanCare $3 - $7 31%
Blue Cross Blue Shield $6 - $10 62%
Bc Pml $8 82%
Node Champva $8 82%
Tricare $8 82%
UnitedHealthcare $9 - $10 93%
Aetna $10 - $713 103%
Covenant Hospice $10 103%
Dayspring Hospice $10 103%
Eon Health $10 103%
Healthspring $10 103%
Humana $10 103%
Medicare (plans) $10 103%
Node Clover Mcr Adv $10 103%
Node Devoted Health Mcr Adv $10 103%
Node Hospice Non Par $10 103%
Node Va $10 103%
Node Wellcare Mcr Adv $10 103%
Occunet $10 103%
Select Health $10 103%
Southerncare Hospice $10 103%
Veterans Eval Services $10 103%
Wiregrass Hospice $10 103%
Al Maternity Waiver Program $12 124%
Node Us Dept Of Labor $12 124%
Ambetter / Centene $15 154%
Cigna $17 - $89 175%
Self Pay $92 - $306 947%
American Employee Alliance $407 4192%
Alamed $611 6292%
Affordable Health $713 7343%
Health Choice $713 7343%
Novanet Ppo $713 7343%
Coventry Work Comp Al $750 7724%
Multiplan $754 - $805 7765%
Wc Dept Ind Relations $815 8393%
Corvel $866 8919%
Galaxy Health $917 9444%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 N Edwards Street, Enterprise, AL 36330
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals