CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Halifax Health Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $52
  • Cash Discount Price: $82
  • vs. Medicare Baseline: 5.36x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Halifax Health Medical Center is $52. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $82. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 5.36x the Medicare baseline. Located in 303 N Clyde Morris Blvd, Daytona Beach, FL.
Cash / Self-Pay
$82

Average discount available for prompt cash payment at this facility.

Insurance Median
$52

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: $82 (844%)
Insurance Median: $52 (536%)
Cash: $82 (844% of Medicare)
Ins. Median: $52 (536% 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 536% of the Medicare baseline (a markup of 436%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $3 - $103 31%
Caresource Network $3 31%
Coventry $3 - $65 31%
Hcra $3 31%
Humana $3 31%
Independent Living Systems $3 - $52 31%
Medicaid / KanCare $3 31%
Molina $3 31%
Simply Healthcare Plans $3 31%
Sunshine State Health Plan $3 - $36 31%
UnitedHealthcare $3 - $62 31%
West Volusia $3 31%
Employers Health Network $15 154%
Fhcp $20 206%
Florida Healthcare $21 216%
Embs $29 - $88 299%
Florida Healthcare - Hecn $35 360%
Blue Cross Blue Shield $40 - $45 412%
Avmed $47 - $52 484%
Centivo $52 536%
County Of Volusia Corrections $52 536%
A&G Admin $53 546%
Volusia County Employee $53 546%
Claimdoc $62 639%
Devoted Health $62 639%
Division Of The Blind $62 639%
Oscar $62 639%
Prime Health Services $62 639%
Volusia $62 - $72 639%
Sim Plan Pay $67 690%
Hrgi $72 742%
Plotkin Consulting $72 742%
Evolutions International $77 793%
Summit America $82 844%
Americas Choice Provider Network $93 - $103 958%
Integrated Health Plan $93 958%
Multiplan $93 958%
Three Rivers $98 1009%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals