CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: HCA Florida Orange Park Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $12
  • Cash Discount Price: $555
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at HCA Florida Orange Park Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $555. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.24x the Medicare baseline. Located in 2001 Kingsley Ave, Orange Park, FL.
Cash / Self-Pay
$555

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: $555 (5716%)
Insurance Median: $12 (124%)
Cash: $555 (5716% 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
Hospice Community $8 82%
Hospice Haven $9 93%
Humana $9 - $227 93%
American Health Plan $10 103%
Blue Cross Blue Shield $10 103%
Careplus $10 103%
Cigna $10 103%
Devoted Health $10 103%
Florida Complete Care $10 103%
Ndms Definitive Care $10 103%
Sunshine State $10 103%
United $10 - $250 103%
United Behavioral Health $10 103%
Veterans Evaluation Services $10 103%
Wellcare $10 103%
Wellmed $10 103%
Gold Kidney $11 113%
Clay County Sheriffs Office $12 124%
Longevity $12 124%
Simply Healthcare $12 - $85 124%
Oscar $14 144%
Optimum Healthcare $47 484%
Avmed $67 - $155 690%
Corvel Corporation $120 1236%
Positive Healthcare $122 1256%
Prime Health $123 1267%
Sunshine State Health Plan $141 1452%
Molina Healthcare $150 1545%
Aetna $166 1710%
Medicare (plans) $250 2575%
Plotkin Health $277 2853%
Multiplan $433 - $472 4459%
Evernorth $444 4573%
Evolutions Healthcare $444 - $472 4573%
Ppo Next $472 4861%
Novanet $499 5139%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2001 Kingsley Ave, Orange Park, FL 32073
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals