CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: HCA Florida Aventura Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $14
  • Cash Discount Price: $109
  • vs. Medicare Baseline: 1.44x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at HCA Florida Aventura Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $109. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.44x the Medicare baseline. Located in 20900 Biscayne Blvd, Aventura, FL.
Cash / Self-Pay
$109

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $109 (1123%)
Insurance Median: $14 (144%)
Cash: $109 (1123% of Medicare)
Ins. Median: $14 (144% 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
Freedom Health $9 - $17 93%
Optimum $9 93%
Aetna $10 - $33 103%
Align $10 103%
American Health Plan $10 103%
Avmed $10 - $54 103%
Blue Cross Blue Shield $10 103%
Careplus Sfl $10 103%
Cigna $10 103%
Devoted Health $10 103%
Florida Complete Care $10 103%
Humana $10 - $37 103%
Leon Health $10 103%
Ndms Definitive Care $10 103%
Oscar $10 - $14 103%
Prominence Healthfirst $10 103%
Sunshine State $10 - $11 103%
United $10 - $49 103%
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%
Simply Healthcare Plans $14 144%
Solis Health Plan $14 144%
Molina $19 - $29 196%
Health Sun Health Plan $23 237%
Aids Healthcare $24 - $131 247%
Mmm Of Fl (Health Advantage Plan) $25 257%
United Ppo $26 268%
Sunshine State Health Plan $28 288%
Plotkin Health $54 556%
Prime Health Sherriff $54 556%
Medica Healthcare $63 649%
Multiplan $82 - $93 844%
Evernorth Bh $87 896%
Corvel Corporation $131 1349%
Careworks (Rockport) $134 1380%
Prime Health $134 1380%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 20900 Biscayne Blvd, Aventura, FL 33180
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals