CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: HCA Florida Citrus Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $39
  • Cash Discount Price: $650
  • vs. Medicare Baseline: 4.02x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at HCA Florida Citrus Hospital is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $650. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 4.02x the Medicare baseline. Located in 502 W Highland Blvd, Inverness, FL.
Cash / Self-Pay
$650

Average discount available for prompt cash payment at this facility.

Insurance Median
$39

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: $650 (6694%)
Insurance Median: $39 (402%)
Cash: $650 (6694% of Medicare)
Ins. Median: $39 (402% 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 402% of the Medicare baseline (a markup of 302%). 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
Caresource $9 93%
Humana $9 - $182 93%
Aetna $10 - $195 103%
Align Senior Care $10 103%
American Health Plan $10 103%
Blue Cross Blue Shield $10 103%
Cigna $10 103%
Florida Complete Care $10 103%
Hernando-Pasco Hospice $10 103%
Ndms Definitive Care $10 103%
Secur $10 103%
Sunshine State $10 103%
Ultimate Health Plan $10 103%
United $10 - $292 103%
United Behavioral Health $10 103%
United Va Ccn $10 103%
Wellcare $10 103%
Wellmed $10 103%
Centurion $11 113%
Clear Spring Health $11 113%
Gold Kidney Of Florida $11 113%
Simply Healthcare $12 124%
Oscar $13 134%
Access 2 Healthcare Physicians Freedom Optimum Group Members $31 319%
Access 2 Healthcare Physicians Freedom Health $39 402%
Access 2 Healthcare Physicians Optimum $39 402%
Freedom Health Care $42 433%
Optimum Healthcare $42 433%
Avmed $52 - $162 536%
Corvel Corporation $113 1164%
Rockport Healthcare Group $113 1164%
Prime Health $116 1195%
Molina $123 - $175 1267%
Evolutions Healthcare Systems $149 - $598 1535%
Sunshine State Health Plan $166 1710%
Beacon Health Options $325 3347%
Plotkin Health $325 3347%
Prime Health Sheriff $325 3347%
Multiplan $487 - $552 5015%
Evernorth $520 5355%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 502 W Highland Blvd, Inverness, FL 34452
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals