CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Baptist Medical Center - Nassau

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $28
  • Cash Discount Price: $46
  • vs. Medicare Baseline: 2.88x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Baptist Medical Center - Nassau is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $46. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 2.88x the Medicare baseline. Located in 1250 S 18Th St, Fernandina Beach, FL.
Cash / Self-Pay
$46

Average discount available for prompt cash payment at this facility.

Insurance Median
$28

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: $46 (474%)
Insurance Median: $28 (288%)
Cash: $46 (474% of Medicare)
Ins. Median: $28 (288% 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 288% of the Medicare baseline (a markup of 188%). 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.

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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 - $59 31%
Amerigroup Of Georgia $3 31%
Amerihealth Caritas $3 31%
Daniel Memorial $3 31%
Florida Community Care $3 - $10 31%
Humana $3 31%
Molina Healthcare Of Florida $3 31%
Nassaua County Sheriff'S Office $3 31%
Simply Healthcare Plans $3 31%
Simply Healthcare Plans - Cha $3 31%
Sunshine State Health Plan $3 31%
United Community Plan $3 31%
Vivida Health $3 31%
Community Hospice Of Northeast Florida $10 103%
Devoted $10 103%
Pace $10 103%
Tomorrow'S Rainbow $10 103%
UnitedHealthcare $10 - $36 103%
Va Ccn $10 103%
Upmc $11 113%
Blue Cross Blue Shield $21 - $48 216%
Ambetter / Centene $23 237%
Avmed $24 - $56 247%
Borland Groover $30 309%
Occunet $30 309%
Northeast Florida State Hospital $31 319%
Centivo $33 - $63 340%
Capital Health Plan $34 350%
Geo Group $37 381%
Watchtower $41 422%
Fscj Student Insurance $44 453%
Savannah Grand Of Amelia Island $44 453%
Cigna $46 - $57 474%
Suddath Company $47 484%
Medicaid / KanCare $48 494%
Peach State Health Plan $48 494%
Phcs $56 577%
Evolutions Healthcare $67 690%
Multiplan $67 690%
Corvel $73 752%
Coventry Workers Comp $73 752%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1250 S 18Th St, Fernandina Beach, FL 32034
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals