CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Marion Communtiy Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $16
  • Cash Discount Price: $983
  • vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Marion Communtiy Hospital is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $983. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.65x the Medicare baseline. Located in 1431 Sw 1St Ave, Ocala, FL.
Cash / Self-Pay
$983

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $983 (10124%)
Insurance Median: $16 (165%)
Cash: $983 (10124% of Medicare)
Ins. Median: $16 (165% 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 $9 - $197 93%
Align Senior Care $10 103%
American Health Plan $10 103%
Avmed $10 - $275 103%
Blue Cross Blue Shield $10 103%
Cigna $10 103%
Devoted Health $10 103%
Florida Complete Care $10 103%
Freedom Optimum $10 103%
Ndms Definitive Care $10 103%
Secur $10 103%
Sunshine State $10 103%
United $10 - $442 103%
Va Purchased Care Program $10 103%
Veterans Evaluation Services $10 103%
Wellcare $10 103%
Wellmed $10 103%
Aetna $11 - $295 113%
Careplus $11 113%
Centurion $11 113%
Clear Spring Health $11 113%
Gold Kidney Of Florida $11 113%
Ultimate Health Plan $11 113%
Longevity Health Plan $12 124%
Simply Healthcare $12 124%
Naphcare $20 - $23 206%
University Ma Federal Corrections $20 206%
Wellpath $20 - $23 206%
Corvel Corporation $114 1174%
Prime Health $117 1205%
Careworks (Rockport Community) $120 1236%
Marion County Schools $120 1236%
Simply $151 1555%
Molina Healthcare $187 - $315 1926%
Evolutions $226 2327%
Evolutions Healthcare $226 2327%
Sunshine State Health Plan $251 2585%
Plotkin Health $492 5067%
Prime Health Sheriff $492 5067%
Multiplan $767 7899%
Ppo Next $836 8610%
Novanet $885 9114%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1431 Sw 1St Ave, Ocala, FL 34471
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals