CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: HCA Florida Lake City Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $27
  • Cash Discount Price: $124
  • vs. Medicare Baseline: 2.78x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at HCA Florida Lake City Hospital is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $124. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 2.78x the Medicare baseline. Located in 340 Nw Commerce Dr, Lake City, FL.
Cash / Self-Pay
$124

Average discount available for prompt cash payment at this facility.

Insurance Median
$27

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: $124 (1277%)
Insurance Median: $27 (278%)
Cash: $124 (1277% of Medicare)
Ins. Median: $27 (278% 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 278% of the Medicare baseline (a markup of 178%). 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
Hospice Of North Central Fl $9 93%
Humana $9 - $32 93%
Aetna $10 - $49 103%
Align Senior Care $10 103%
American Health Plan $10 103%
Avmed $10 - $81 103%
Blue Cross Blue Shield $10 103%
Cigna $10 103%
Florida Complete Care $10 103%
Ndms Definitive Care $10 103%
Sunshine State $10 103%
United $10 - $73 103%
Wellcare $10 103%
Wellmed $10 103%
Centurion $11 113%
Clear Spring Health $11 113%
Gold Kidney Of Florida $11 113%
Ultimate Health Plan $11 113%
Longevity Health Plan $12 124%
Oscar $12 124%
Simply Healthcare $12 124%
Simply $13 - $25 134%
Evolutions $20 - $137 206%
Sunshine State Health Plan $22 - $41 227%
Molina Healthcare $28 - $52 288%
Plotkin Health $43 - $81 443%
Prime Health Sheriff $43 - $81 443%
Hamilton County Jail $47 - $87 484%
Multiplan $67 - $137 690%
Ppo Next $73 - $137 752%
Novanet $78 - $146 803%
Corvel Corporation $113 1164%
Prime Health $115 1184%
Careworks (Rockport Community) $119 1226%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 340 Nw Commerce Dr, Lake City, FL 32055
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals