CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: HCA Florida Twin Cities Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $121
  • Cash Discount Price: $936
  • vs. Medicare Baseline: 12.46x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at HCA Florida Twin Cities Hospital is $121. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $936. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 12.46x the Medicare baseline. Located in 2190 Hwy 85 N, Niceville, FL.
Cash / Self-Pay
$936

Average discount available for prompt cash payment at this facility.

Insurance Median
$121

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: $936 (9640%)
Insurance Median: $121 (1246%)
Cash: $936 (9640% of Medicare)
Ins. Median: $121 (1246% 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 1246% of the Medicare baseline (a markup of 1146%). 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
Humana $9 - $356 93%
Aetna $10 - $281 103%
American Health Plan $10 103%
Blue Cross Blue Shield $10 103%
Florida Complete Care $10 103%
Healthspring Of Florida $10 103%
Ndms Definitive Care $10 103%
Regency Hospice $10 103%
Sunshine State $10 103%
United $10 - $421 103%
Wellcare $10 103%
Wellmed $10 103%
Centurion $11 113%
Clear Spring Health $11 113%
Gold Kidney Of Florida $11 113%
Ultimate Health Plan $11 113%
Longevity Health Plan $12 124%
Oscar $13 134%
Simply Healthcare $15 154%
Corvel Corporation $121 1246%
Prime Health $124 1277%
Careworks (Rockport Community) $128 1318%
Simply $144 1483%
Molina Healthcare $178 - $300 1833%
Avmed $225 - $468 2317%
Sunshine State Health Plan $239 2461%
Plotkin Health $468 4820%
Prime Health Sheriff $468 4820%
Evolutions Healthcare $608 - $796 6262%
Multiplan $730 - $796 7518%
Ppo Next $796 8198%
Novanet $842 8671%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2190 Hwy 85 N, Niceville, FL 32578
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals