CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Lower Keys Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $13
  • Cash Discount Price: $44
  • vs. Medicare Baseline: 1.34x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Lower Keys Medical Center is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $44. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.34x the Medicare baseline. Located in 5900 College Road, Key West, FL.
Cash / Self-Pay
$44

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $44 (453%)
Insurance Median: $13 (134%)
Cash: $44 (453% of Medicare)
Ins. Median: $13 (134% 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
Florida Childrens Medical Services $4 41%
Humana $4 - $10 41%
Medicaid / KanCare $4 - $5 41%
Self Pay $4 - $108 41%
South Florida Community Care Network $4 41%
Amerigroup $5 51%
Magellan $5 51%
Molina $5 51%
Positive Healthcare $5 51%
Prestige Health Choice $5 51%
Simply Healthcare $5 - $95 51%
Wellcare $5 51%
Wellcare Healthease $5 51%
Blue Cross Blue Shield $6 - $308 62%
UnitedHealthcare $8 - $237 82%
Cigna $9 - $182 93%
Tricare $9 93%
Fl Work Comp $10 103%
Heritage Summit Work Comp Fl $10 103%
Medicare (plans) $10 103%
Node Champva $10 103%
Node Non Par Hospice Agree $10 103%
Node United Behavioral Va Ccn $10 103%
Node Va $10 103%
Prime Health Work Comp Fl $10 103%
Ultimate Health $10 103%
Veterans Eval Services $10 103%
Aetna $11 - $215 113%
Correct Care Solutions $11 113%
Monroe County $12 - $231 124%
Node Us Dept Of Labor $12 124%
Avmed Health Plan $13 - $262 134%
Evolutions Healthcare Systems $13 - $292 134%
Keys Energy $13 - $246 134%
Prime Health Ppo $13 - $246 134%
Direct Healthcare $16 - $308 165%
State Auto Insurance Fl $19 196%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5900 College Road, Key West, FL 33040
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals