CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: HCA Florida Highlands Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $154
  • Cash Discount Price: $778
  • vs. Medicare Baseline: 15.86x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at HCA Florida Highlands Hospital is $154. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $778. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 15.86x the Medicare baseline. Located in 3600 S Highlands Ave, Sebring, FL.
Cash / Self-Pay
$778

Average discount available for prompt cash payment at this facility.

Insurance Median
$154

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: $778 (8012%)
Insurance Median: $154 (1586%)
Cash: $778 (8012% of Medicare)
Ins. Median: $154 (1586% 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 1586% of the Medicare baseline (a markup of 1486%). 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 $10 - $243 103%
American Health Plan $10 103%
Blue Cross Blue Shield $10 103%
Cigna $10 103%
Devoted Health $10 103%
Florida Complete Care $10 103%
Humana $10 - $324 103%
Ndms Definitive Care $10 103%
Prominence Healthfirst $10 103%
Sunshine State $10 - $11 103%
United $10 - $365 103%
Wellmed $10 103%
Centurion $11 113%
Amerihealth Caritas $12 124%
Longevity Health Plan $12 124%
Oscar $19 196%
Simply Healthcare $22 227%
Freedom Health $64 - $70 659%
Avmed $97 - $406 999%
Prime Health $112 1153%
Molina $142 - $154 1462%
Office Of Sheiff Highland Co $261 - $284 2688%
United Ppo $328 - $357 3378%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3600 S Highlands Ave, Sebring, FL 33870
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals