CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: HCA Florida Lehigh Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $15
  • Cash Discount Price: $361
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at HCA Florida Lehigh Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $361. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.54x the Medicare baseline. Located in 1500 Lee Blvd, Lehigh Acres, FL.
Cash / Self-Pay
$361

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $361 (3718%)
Insurance Median: $15 (154%)
Cash: $361 (3718% of Medicare)
Ins. Median: $15 (154% 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
Caresource $9 93%
Humana $9 - $11 93%
Aetna $10 - $108 103%
Blue Cross Blue Shield $10 103%
United $10 - $59 103%
Wellcare $10 103%
Wellmed $10 103%
Simply Healthcare $11 - $56 113%
Longevity Health Plan $12 124%
Oscar $15 154%
Freedom Health Care $28 288%
Optimum Healthcare $28 288%
Evolutions Healthcare Systems $83 - $332 855%
Sunshine State Health Plan $92 947%
Plotkin Health $181 1864%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1500 Lee Blvd, Lehigh Acres, FL 33936
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals