CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Central Florida Lake Monroe Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $12
  • Cash Discount Price: $94
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Central Florida Lake Monroe Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $94. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.24x the Medicare baseline. Located in 1401 W Seminole Blvd, Sanford, FL.
Cash / Self-Pay
$94

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $94 (968%)
Insurance Median: $12 (124%)
Cash: $94 (968% of Medicare)
Ins. Median: $12 (124% 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 $2 - $12 21%
Optimum $2 - $12 21%
Simply $4 - $25 41%
Humana $5 - $39 51%
Molina Healthcare $5 - $52 51%
Avmed $6 - $82 62%
Evolutions $6 - $38 62%
Sunshine State Health Plan $6 - $42 62%
Aetna $7 - $49 72%
United $8 - $74 82%
Florida Health Care Plan $9 - $62 93%
Align Senior Care $10 103%
American Health Plan $10 103%
Blue Cross Blue Shield $10 103%
Cigna $10 103%
Devoted Health $10 103%
Fl Health Care Plan $10 103%
Florida Complete Care $10 103%
Ndms Definitive Care $10 103%
Sunshine State $10 103%
Wellcare $10 103%
Wellmed $10 103%
Careplus $11 113%
Centurion $11 113%
Clear Spring Health $11 113%
Gold Kidney Of Florida $11 113%
Seminole County Sheriffs Office $11 113%
Ultimate Health Plan $11 113%
Longevity Health Plan $12 124%
Plotkin Health $12 - $82 124%
Prime Health Sheriff $12 - $82 124%
Oscar $14 144%
Solis Health Plan $14 144%
Simply Healthcare $15 154%
Multiplan $18 - $139 185%
Three Rivers Provider Network $18 - $123 185%
Ppo Next $20 - $139 206%
Novanet $22 - $147 227%
Corvel Corporation $120 1236%
Prime Health $123 1267%
Careworks (Rockport Community) $127 1308%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1401 W Seminole Blvd, Sanford, FL 32771
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals