CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Santa Rosa Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $9
  • Cash Discount Price: $39
  • vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Santa Rosa Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $39. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 0.93x the Medicare baseline. Located in 6002 Berryhill Rd, Milton, FL.
Cash / Self-Pay
$39

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $39 (402%)
Insurance Median: $9 (93%)
Cash: $39 (402% of Medicare)
Ins. Median: $9 (93% 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
Cigna $1 - $59 10%
Self Pay $1 - $60 10%
Aetna $3 - $147 31%
Fl Community Care $3 31%
Humana $3 - $10 31%
Medicaid / KanCare $3 31%
Molina $3 31%
Wellcare $3 31%
Prime Health Services $4 - $209 41%
Tricare $4 - $9 41%
Blue Cross Blue Shield $5 - $261 51%
Hospice Of Nw Fl $5 - $10 51%
Medicare (plans) $5 - $10 51%
Node Champva $5 - $9 51%
Node Va $5 - $10 51%
Node Wellcare Mcr Adv $5 - $10 51%
Oscar $5 - $14 51%
UnitedHealthcare $5 - $51 51%
Veterans Eval Services $5 - $10 51%
Geo Group $6 - $12 62%
Node Us Dept Of Labor $6 - $12 62%
Florida State Auto Insurance $10 - $19 103%
Florida Workers Compensation $10 103%
Prime Health Work Comp Fl $10 103%
Ambetter / Centene $11 - $23 113%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6002 Berryhill Rd, Milton, FL 32570
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals