CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: HCA Florida Mercy Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $85
  • Cash Discount Price: $990
  • vs. Medicare Baseline: 8.75x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at HCA Florida Mercy Hospital is $85. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $990. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 8.75x the Medicare baseline. Located in 401 Nw 42Nd Ave, Plantation, FL.
Cash / Self-Pay
$990

Average discount available for prompt cash payment at this facility.

Insurance Median
$85

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: $990 (10196%)
Insurance Median: $85 (875%)
Cash: $990 (10196% of Medicare)
Ins. Median: $85 (875% 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 875% of the Medicare baseline (a markup of 775%). 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
Aetna $10 - $297 103%
Align $10 103%
American Health Plan $10 103%
Avmed $10 - $495 103%
Blue Cross Blue Shield $10 103%
Careplus Sfl $10 103%
Cigna $10 103%
Devoted Health $10 103%
Florida Complete Care $10 103%
Humana $10 - $337 103%
Kindred Hospice $10 103%
Leon Health $10 103%
Ndms Definitive Care $10 103%
Oscar $10 - $14 103%
Prominence Healthfirst $10 103%
Sunshine State $10 - $11 103%
United $10 - $446 103%
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%
Solis Health Plan $14 144%
Freedom Health $85 - $158 875%
Optimum $85 875%
Simply Healthcare Plans $129 1329%
Corvel Corporation $131 1349%
Careworks (Rockport) $134 1380%
Prime Health $134 1380%
Molina $188 - $267 1936%
Health Sun Health Plan $211 2173%
Aids Healthcare $218 - $1,188 2245%
Mmm Of Fl (Health Advantage Plan) $228 2348%
United Ppo $235 2420%
Sunshine State Health Plan $257 2647%
Plotkin Health $495 5098%
Prime Health Sherriff $495 5098%
Medica Healthcare $584 6014%
Multiplan $742 - $842 7642%
Evernorth Bh $792 8157%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 Nw 42Nd Ave, Plantation, FL 33317
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals