CMS Price Transparency Data
Blood test, average blood sugar (A1c)
Facility: Palmetto General Hospital
Billing Code: 83036 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 83036
- Insurance Median: $10
- Cash Discount Price: $274
- vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Palmetto General Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $274. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.03x the Medicare baseline. Located in 2001 W 68Th St, Hialeah, FL.
Cash / Self-Pay
$274
Average discount available for prompt cash payment at this facility.
Insurance Median
$10
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: $274 (2822%)
Insurance Median: $10 (103%)
Cash: $274 (2822% of Medicare)
Ins. Median: $10 (103% 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 |
|---|---|---|
| Humana | $3 - $111 | 31% |
| Medicaid / KanCare | $3 - $274 | 31% |
| UnitedHealthcare | $3 - $10 | 31% |
| Cigna | $5 - $137 | 51% |
| Veterans Administration Mill Bill | $7 | 72% |
| Aetna | $8 - $194 | 82% |
| Avmed Broad Network | $9 | 93% |
| Medicare (plans) | $9 - $274 | 93% |
| Bristol Hospice- Miami Dade Llc | $10 | 103% |
| Catholic Hospice | $10 | 103% |
| Compassionate Care Hospice Of Miami Dade And The Fl Keys Inc | $10 | 103% |
| Devoted Health | $10 | 103% |
| Dimension Health Wc | $10 | 103% |
| Employer Direct Healthcare | $10 - $12 | 103% |
| Healthsun Health Plans | $10 | 103% |
| Hospice Other | $10 | 103% |
| Ima Evalutations Inc | $10 | 103% |
| Leon Health Inc | $10 | 103% |
| Longevity Health Plan | $10 | 103% |
| Odyssey Healthcare Of Marion County Dba Kindred Hospice | $10 | 103% |
| Opuscare Of South Fl | $10 | 103% |
| Seasons Hospice And Pallative Care Of Southern Florida Inc | $10 | 103% |
| Select Specialty Hospital | $10 | 103% |
| Tricare | $10 | 103% |
| Veterans Administration Vaccn | $10 | 103% |
| Vitas Healthcare Hospice | $10 | 103% |
| Westchester General Hospital | $10 | 103% |
| Workers Compensation | $10 | 103% |
| Florida Pace Centers | $11 | 113% |
| Bright Health Management Commercial | $12 | 124% |
| Imagine Health | $12 | 124% |
| Oscar Health Plan Hix | $12 | 124% |
| Self Pay/Uninsured | $12 | 124% |
| Naphcare Inc | $13 | 134% |
| Avmed Exchange | $17 | 175% |
| Ambetter / Centene | $18 | 185% |
| Molina Marketplace Program Exchange | $18 | 185% |
| Auto Insurance | $19 | 196% |
| Avmed Select Network | $20 | 206% |
| Amerihealth Caritas Next Exchange | $21 | 216% |
| Bc/Bs Myblue Hmo Hix | $39 | 402% |
| Bc/Bs Of Fl Network Blue | $39 | 402% |
| Bc/Bs Of Fl Simplyblue | $39 | 402% |
| Bc/Bs Of Fl Blue Select Exchange Non Par | $42 | 433% |
| Bc/Bs Of Fl Health Options Hmo | $42 | 433% |
| Bc/Bs Of Fl Ppo | $42 | 433% |
| Bc/Bs Of Fl Miami Dade Blue Select | $55 | 566% |
| Bc/Bs Of Fl Phs | $137 | 1411% |
| Liga Contra El Cancer | $137 | 1411% |
| Magellan Behavioral Health | $164 | 1689% |
| Dimensions International | $178 | 1833% |
| First Health | $183 | 1885% |
| Dimension Health Ppo | $205 | 2111% |
| Beacon Health Strategies Commercial | $274 | 2822% |
| Commercial Non-Contracted | $274 | 2822% |
| Self Pay - Mcd Pending 100 Percent | $274 | 2822% |
| Single Case Agreement | $274 | 2822% |
| United Behavioral Health Psych | $274 | 2822% |