CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Morton Plant Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $26
  • Cash Discount Price: $22
  • vs. Medicare Baseline: 2.68x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Morton Plant Hospital is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 2.68x the Medicare baseline. Located in 300 Pinellas St, Clearwater, FL.
Cash / Self-Pay
$22

Average discount available for prompt cash payment at this facility.

Insurance Median
$26

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: $22 (227%)
Insurance Median: $26 (268%)
Cash: $22 (227% of Medicare)
Ins. Median: $26 (268% 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 268% of the Medicare baseline (a markup of 168%). 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
Aetna $3 - $110 31%
Clear Health Alliance $3 31%
Florida Community Care $3 31%
Freedom Health $3 31%
Humana $3 - $12 31%
Molina Healthcare $3 31%
Simply Healthcare $3 - $24 31%
Sunshine Health $3 31%
UnitedHealthcare $3 - $122 31%
Freedom $6 - $27 62%
Molina $6 - $80 62%
Optimum $6 - $27 62%
Careplus $7 - $31 72%
Blue Cross Blue Shield $9 - $71 93%
Ultimate Health Plan $9 - $40 93%
Avmed $10 - $66 103%
Baycareplus $10 103%
Cigna $11 - $117 113%
Solis Health $11 113%
Wellcare $14 144%
Evolutions $16 - $126 165%
Ambetter / Centene $22 - $135 227%
First Health $26 - $115 268%
Multiplan $28 - $122 288%
United Behavioral Health $31 - $135 319%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Pinellas St, Clearwater, FL 33756
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals