CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: North Shore Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $12
  • Cash Discount Price: $675
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at North Shore Medical Center is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $675. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.24x the Medicare baseline. Located in 1100 Nw 95Th St, Miami, FL.
Cash / Self-Pay
$675

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $675 (6952%)
Insurance Median: $12 (124%)
Cash: $675 (6952% of Medicare)
Ins. Median: $12 (124% 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
Humana $3 - $269 31%
Medicaid / KanCare $3 - $675 31%
UnitedHealthcare $3 - $10 31%
Cigna $5 - $337 51%
Veterans Administration Mill Bill $7 72%
Avmed Broad Network $8 82%
Medicare (plans) $9 - $675 93%
Aetna $10 - $486 103%
Devoted Health $10 103%
Dimension Health Wc $10 103%
Employer Direct Healthcare $10 - $12 103%
Healthsun Health Plans $10 103%
Hospice Other $10 103%
Leon Health Inc $10 103%
Longevity Health Plan $10 103%
Tricare $10 103%
Veterans Administration Vaccn $10 103%
Workers Compensation $10 103%
Florida Pace Centers $11 113%
Bright Health Management Commercial $12 124%
Centurion Prison $12 124%
Imagine Health $12 124%
Oscar Health Plan Hix $12 124%
Self Pay/Uninsured $12 124%
Avmed Exchange $17 175%
Ambetter / Centene $18 185%
Molina Marketplace Program Exchange $18 185%
Auto Insurance $19 196%
Avmed Select Network $20 206%
Amerihealth Caritas Next Exchange $21 216%
Bc/Bs Myblue Hmo Hix $83 855%
Bc/Bs Of Fl Network Blue $90 927%
Bc/Bs Of Fl Ppo $90 927%
Bc/Bs Of Fl Simplyblue $90 927%
Bc/Bs Of Fl Blue Select Exchange Non Par $97 999%
Bc/Bs Of Fl Health Options Hmo $97 999%
Bc/Bs Of Fl Phs $350 3605%
Magellan Behavioral Health $405 4171%
Dimensions International $439 4521%
First Health $459 4727%
Dimension Health Ppo $506 5211%
Beacon Health Strategies Commercial $675 6952%
Commercial Non-Contracted $675 6952%
Self Pay - Mcd Pending 100 Percent $675 6952%
Single Case Agreement $675 6952%
United Behavioral Health Psych $675 6952%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 Nw 95Th St, Miami, FL 33150
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals