CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Flowers Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $16
  • Cash Discount Price: $36
  • vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Flowers Hospital is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $36. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.65x the Medicare baseline. Located in 4370 West Main Street, Dothan, AL.
Cash / Self-Pay
$36

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $36 (371%)
Insurance Median: $16 (165%)
Cash: $36 (371% of Medicare)
Ins. Median: $16 (165% 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%
Alabama Rehab $7 72%
Blue Cross Blue Shield $7 - $10 72%
Bc Pml $8 82%
Node Champva $8 82%
Tricare $8 82%
UnitedHealthcare $9 - $10 93%
Aetna $10 - $118 103%
Care Improvement Plus $10 103%
Cigna $10 - $16 103%
Compassionate Hands $10 103%
Covenant Hospice $10 103%
Dayspring Hospice $10 103%
Eon Health Care $10 103%
Humana $10 103%
Medicare (plans) $10 103%
Node Clover Health Mcr Adv $10 103%
Node Devoted Health Mcr Adv $10 103%
Node Hospice Non Par $10 103%
Node Va $10 103%
Node Viva Mcr Adv $10 103%
Node Wellcare Mcr Adv $10 103%
Occunet $10 103%
Prime Health $10 - $114 103%
Select Health $10 103%
Southern Care Hospice $10 103%
Veterans Eval Services $10 103%
Vistacare Hospice $10 103%
Wiregrass Hospice $10 103%
Node Us Dept Of Labor $12 124%
Ambetter / Centene $15 154%
Self Pay $24 - $48 247%
S & S Healthcare $40 412%
Choicecare Commercial $56 577%
American Employee Alliance $64 659%
Coventry Healthcare $80 - $123 824%
Viva Health $97 999%
Multiplan $105 - $129 1081%
Standard Textile $113 1164%
Alamed Wc $114 1174%
Health Choice $118 1215%
Equian $121 - $127 1246%
Qhp $121 1246%
Novanet $129 1329%
Alabama Work Comp $134 1380%
Ccn/Mednet Ppo $137 1411%
Corvel $137 1411%
Industry Buying Group $137 1411%
Galaxy Health $145 1493%
Health Payors Org $145 1493%
National Provider Net $145 1493%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4370 West Main Street, Dothan, AL 36302
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals