CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: HCA Florida Kendall Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $12
  • Cash Discount Price: $61
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at HCA Florida Kendall Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $61. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.24x the Medicare baseline. Located in 11750 Bird Rd, Miami, FL.
Cash / Self-Pay
$61

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: $61 (628%)
Insurance Median: $12 (124%)
Cash: $61 (628% 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 $4 - $12 41%
Optimum $4 - $7 41%
Avmed $5 - $39 51%
Simply Healthcare Plans $6 - $10 62%
Molina $8 - $21 82%
Health Sun Health Plan $9 - $17 93%
Humana $9 - $27 93%
Aetna $10 - $23 103%
Aids Healthcare $10 - $94 103%
Align $10 103%
American Health Plan $10 103%
Blue Cross Blue Shield $10 103%
Careplus Sfl $10 103%
Cigna $10 103%
Devoted Health $10 103%
Florida Complete Care $10 103%
Leon Health $10 103%
Mmm Of Fl (Health Advantage Plan) $10 - $18 103%
Ndms Definitive Care $10 103%
Oscar $10 - $14 103%
Prominence Healthfirst $10 103%
Sunshine State $10 - $11 103%
United $10 - $35 103%
United Behavioral Health $10 103%
United Ppo $10 - $18 103%
Veterans Evaluation Services $10 103%
Wellmed $10 103%
Centurion $11 113%
Doctors Healthcare Plan $11 113%
Gold Kidney $11 113%
Sunshine State Health Plan $11 - $20 113%
Amerihealth Caritas $12 - $15 124%
Longevity Health Plan $12 124%
Simply Healthcare $12 124%
Solis Health Plan $14 144%
Naphcare $17 175%
Seven Corners $20 - $23 206%
Wellpath $20 - $23 206%
Plotkin Health $22 - $39 227%
Prime Health Sherriff $22 - $39 227%
Medica Healthcare $26 - $45 268%
Multiplan $33 - $66 340%
Evernorth Bh $35 - $62 360%
Corvel Corporation $131 1349%
Careworks (Rockport) $134 1380%
Prime Health $134 1380%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11750 Bird Rd, Miami, FL 33175
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals