CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: HCA Florida Jfk Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $29
  • Cash Discount Price: $273
  • vs. Medicare Baseline: 2.99x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at HCA Florida Jfk Hospital is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $273. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 2.99x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.
Cash / Self-Pay
$273

Average discount available for prompt cash payment at this facility.

Insurance Median
$29

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: $273 (2812%)
Insurance Median: $29 (299%)
Cash: $273 (2812% of Medicare)
Ins. Median: $29 (299% 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 299% of the Medicare baseline (a markup of 199%). 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
Palm Beach Pace $9 93%
Aetna $10 - $82 103%
Align $10 103%
American Health Plan $10 103%
Blue Cross Blue Shield $10 103%
Careplus Sfl $10 103%
Cigna $10 103%
Devoted Health $10 103%
Florida Complete Care $10 103%
Humana $10 - $93 103%
Ndms Definitive Care $10 103%
Oscar $10 - $14 103%
Prominence Healthfirst $10 103%
Sunshine State $10 - $11 103%
United $10 - $123 103%
United Behavioral Health $10 103%
Veterans Evaluation Services $10 103%
Wellmed $10 103%
Centurion $11 113%
Doctors Healthcare Plan $11 113%
Gold Kidney $11 113%
Amerihealth Caritas $12 - $15 124%
Longevity Health Plan $12 124%
Simply Healthcare $12 124%
Solis Health Plan $14 144%
Freedom Health $23 - $44 237%
Optimum $23 237%
Avmed $35 - $136 360%
Simply Healthcare Plans $35 360%
Molina $46 - $74 474%
Health Sun Health Plan $58 597%
Aids Healthcare $60 - $328 618%
Mmm Of Fl (Health Advantage Plan) $63 649%
United Ppo $65 669%
Sunshine State Health Plan $71 731%
Blis $96 989%
Corvel Corporation $126 1298%
Careworks (Rockport) $129 1329%
Prime Health $129 1329%
District Cares $136 1401%
Plotkin Health $136 1401%
Prime Health Sherriff $136 1401%
Medica Healthcare $161 1658%
Multiplan $205 - $232 2111%
Evernorth Bh $218 2245%
Healthy Palm Beaches $550 5664%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5301 S Congress Ave, Atlantis, FL 33462
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals