CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Hialeah Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $10
  • Cash Discount Price: $134
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Hialeah Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $134. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.03x the Medicare baseline. Located in 651 E 25Th St, Hialeah, FL.
Cash / Self-Pay
$134

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $134 (1380%)
Insurance Median: $10 (103%)
Cash: $134 (1380% of Medicare)
Ins. Median: $10 (103% 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 - $61 31%
Medicaid / KanCare $3 31%
UnitedHealthcare $3 - $10 31%
Aetna $4 - $97 41%
Cigna $5 - $39 51%
Veterans Administration Mill Bill $7 72%
Avmed Broad Network $8 82%
Medicare (plans) $9 - $21 93%
Bristol Hospice- Miami Dade Llc $10 103%
Catholic Hospice $10 103%
Comprehensive Home Health Care Dba Opuscare Of South Florida $10 103%
Devoted Health $10 103%
Dimension Health Wc $10 103%
Employer Direct Healthcare $10 - $12 103%
Hcr Manor Care Services Of Fl $10 103%
Healthsun Health Plans $10 103%
Hospice Other $10 103%
Leon Health Inc $10 103%
Longevity Health Plan $10 103%
Odyssey Healthcare Of Marion County Dba Kindred Hospice $10 103%
Seasons Hospice And Pallative Care Of Southern Florida Inc $10 103%
Tricare $10 103%
Veterans Administration Vaccn $10 103%
Vitas Healthcare Hospice Corporation Of Fl $10 103%
Vitas Hospice Unit Agreement $10 103%
Workers Compensation $10 103%
Florida Pace Centers $11 113%
Bright Health Management Commercial $12 124%
Imagine Health $12 124%
Oscar Health Plan Hix $12 124%
Self Pay/Uninsured $12 124%
Naphcare Inc $13 134%
Avmed Exchange $17 175%
Bc/Bs Myblue Hmo Hix $17 175%
Ambetter / Centene $18 185%
Bc/Bs Of Fl Health Options Hmo $18 185%
Bc/Bs Of Fl Simplyblue $18 185%
Molina Marketplace Program Exchange $18 185%
Auto Insurance $19 196%
Bc/Bs Of Fl Network Blue $19 196%
Bc/Bs Of Fl Ppo $19 196%
Avmed Select Network $20 206%
Bc/Bs Of Fl Blue Select Exchange Non Par $20 206%
Bc/Bs Of Fl Miami Dade Blue Select $20 206%
Amerihealth Caritas Next Exchange $21 216%
Bc/Bs Of Fl Phs $70 721%
Dimensions International $87 896%
First Health $91 937%
Dimension Health Ppo $101 1040%
Commercial Non-Contracted $134 1380%
Self Pay - Mcd Pending 100 Percent $134 1380%
Single Case Agreement $134 1380%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 651 E 25Th St, Hialeah, FL 33013
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals