CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Larkin Community Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $11
  • Cash Discount Price: $57
  • vs. Medicare Baseline: 1.13x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Larkin Community Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $57. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.13x the Medicare baseline. Located in 7031 Sw 62Nd Ave, South Miami, FL.
Cash / Self-Pay
$57

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $57 (587%)
Insurance Median: $11 (113%)
Cash: $57 (587% of Medicare)
Ins. Median: $11 (113% 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
Corvel Mcaid Workers Comp $2 21%
Medicaid / KanCare $2 - $3 21%
Sunshine Behavioral $2 21%
Aetna $3 - $81 31%
Ambetter / Centene $3 31%
Community Care Phks Mcaid-All Other Plans $3 31%
Florida Comm Care Mcaid $3 31%
Humana $3 - $81 31%
Molina Exch Marketplace-All Other Plans $3 31%
UnitedHealthcare $3 - $13 31%
Fdc-All Plans $8 82%
Blue Cross Blue Shield $9 - $172 93%
Clear Springs Hlth-All Plans $10 103%
Florida Comm Care Mcare-All Other Plans $10 103%
Medicare (plans) $10 - $85 103%
Ops Maritime-All Plans $10 103%
Opus Hospice Ip Only-All Plans $10 103%
Preferred Care Partners Mcare-All Plans $10 103%
Unicare Simply Mcare Ppo-All Plans $10 103%
Fci-All Plans $11 113%
Wellpath-All Plans $11 113%
Allianz (Azga)-All Plans $13 134%
Cigna $20 206%
Healthsun-All Plans $24 247%
Star Network-All Plans $32 330%
Jmh Health Plan Hmo/Ppo-All Other Plans $45 463%
Global Excel-All Plans $49 505%
Haa Preferred Partners-All Plans $49 505%
Corvel Mcare Workers Comp-All Plans $73 752%
Magellan Complete Care $73 752%
Avmed-All Plans $81 834%
Careplus Health-All Other Plans $81 834%
Centurion-All Plans $81 834%
Coventry Comml-All Plans $81 834%
Doctors Healthcare-All Plans $81 834%
First Med Hp Of Fl-All Plans $81 834%
Florida Health Solution/Hmo-All Plans $81 834%
Bright Health-All Other Plans $97 999%
Oscar Health-All Plans $162 1668%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7031 Sw 62Nd Ave, South Miami, FL 33143
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals