CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: HCA Florida North Florida Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $10
  • Cash Discount Price: $25
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at HCA Florida North Florida Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.03x the Medicare baseline. Located in 6500 W Newberry Rd, Gainesville, FL.
Cash / Self-Pay
$25

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: $25 (257%)
Insurance Median: $10 (103%)
Cash: $25 (257% 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
Molina Healthcare $1 - $15 10%
United $1 - $21 10%
Avmed $2 - $23 21%
Corizon Phs $2 - $27 21%
Plotkin Health $2 - $23 21%
Prime Health Sheriff $2 - $23 21%
Beacon Health Options $3 - $46 31%
Evernorth $3 - $37 31%
Evolutions Healthcare $3 - $39 31%
Multiplan $3 - $39 31%
Novanet $3 - $41 31%
Ppo Next $3 - $39 31%
Simply $7 72%
Hospice Of North Central Fl $9 93%
Humana $9 - $10 93%
Aetna $10 - $14 103%
Align Senior Care $10 103%
American Health Plan $10 103%
Blue Cross Blue Shield $10 103%
Capital Health Plan $10 103%
Cigna $10 103%
Florida Complete Care $10 103%
Ndms Definitive Care $10 103%
Sunshine State $10 103%
United Behavioral Health $10 103%
Wellcare $10 103%
Wellmed $10 103%
Centurion $11 113%
Clear Spring Health $11 113%
Evolutions $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%
Sunshine State Health Plan $12 124%
Corvel Corporation $127 1308%
Prime Health $129 1329%
Careworks (Rockport Community) $133 1370%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6500 W Newberry Rd, Gainesville, FL 32605
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals