CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: HCA Florida Blake Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $27
  • Cash Discount Price: $318
  • vs. Medicare Baseline: 2.78x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at HCA Florida Blake Hospital is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $318. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 2.78x the Medicare baseline. Located in 2020 59Th St W, Bradenton, FL.
Cash / Self-Pay
$318

Average discount available for prompt cash payment at this facility.

Insurance Median
$27

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: $318 (3275%)
Insurance Median: $27 (278%)
Cash: $318 (3275% of Medicare)
Ins. Median: $27 (278% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 278% of the Medicare baseline (a markup of 178%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Access 2 Healthcare Physicians Freedom Optimum Group Members $2 - $28 21%
Access 2 Healthcare Physicians Freedom Health $3 - $43 31%
Access 2 Healthcare Physicians Optimum $3 - $43 31%
Freedom Health Care $3 - $46 31%
Optimum Healthcare $3 - $46 31%
Avmed $4 - $148 41%
United $7 - $266 72%
Molina $8 - $160 82%
Simply Healthcare $8 - $101 82%
Caresource $9 93%
Humana $9 - $166 93%
Aetna $10 - $177 103%
Align Senior Care $10 103%
American Health Plan $10 103%
Blue Cross Blue Shield $10 103%
Cigna $10 103%
Devoted Health $10 103%
Evolutions Healthcare Systems $10 - $544 103%
Florida Complete Care $10 103%
Ndms Definitive Care $10 103%
Secur $10 103%
Sunshine State $10 103%
Ultimate Health Plan $10 103%
United Va Ccn $10 103%
Wellcare $10 103%
Wellmed $10 103%
Careplus $11 113%
Centurion $11 113%
Clear Spring Health $11 113%
Gold Kidney Of Florida $11 113%
Sunshine State Health Plan $11 - $151 113%
Oscar $15 154%
Behealthy America $17 - $231 175%
Healthcare Sarasota $22 - $296 227%
Plotkin Health $22 - $296 227%
Prime Health Sheriff $22 - $296 227%
Multiplan $33 - $503 340%
Corvel Corporation $122 1256%
Rockport Healthcare Group $122 1256%
Prime Health $124 1277%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2020 59Th St W, Bradenton, FL 34209
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals