CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: HCA Florida Lawnwood Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $24
  • Cash Discount Price: $606
  • vs. Medicare Baseline: 2.47x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at HCA Florida Lawnwood Hospital is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $606. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 2.47x the Medicare baseline. Located in 1700 S 23Rd St, Fort Pierce, FL.
Cash / Self-Pay
$606

Average discount available for prompt cash payment at this facility.

Insurance Median
$24

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: $606 (6241%)
Insurance Median: $24 (247%)
Cash: $606 (6241% of Medicare)
Ins. Median: $24 (247% 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 247% of the Medicare baseline (a markup of 147%). 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
Cigna $6 - $626 62%
Aetna $10 - $516 103%
American Health Plan $10 103%
Blue Cross Blue Shield $10 - $723 103%
Bright Health $10 - $293 103%
Careplus $10 103%
Delaware Life Insurance $10 103%
Devoted Health $10 103%
Florida Complete Care $10 103%
Humana $10 - $94 103%
Innovage Pace $10 103%
Kaiser $10 - $347 103%
Mutual Of Omaha $10 103%
Ndms Definitive Care $10 103%
Prominence Healthfirst $10 103%
Rocky Mountain Health $10 103%
Rocky Mountain Health Plan $10 103%
Sunshine State $10 - $11 103%
Total Longterm Care $10 103%
Triwest Health Alliance $10 103%
Ultimate Health Plan $10 103%
United $10 - $440 103%
United Behavioral Health $10 103%
Veterans Evaluation Services $10 103%
Wellcare $10 103%
Wellmed $10 103%
Centurion $11 113%
Amerihealth Caritas $12 124%
Longevity Health Plan $12 124%
Solis Health Plan $14 144%
Oscar $19 196%
Freedom Health $20 - $37 206%
Optimum $20 206%
Simply Healthcare $22 227%
Pinnacol Workers Comp $27 278%
Multiplan $28 - $880 288%
Avmed $30 - $117 309%
Simply Healthcare Plans $30 309%
Molina $44 - $63 453%
Health Sun Health Plan $50 515%
Sunshine State Health Plan $60 618%
Office Of Sheiff Highland Co $82 844%
United Ppo $103 1061%
Plotkin Health $117 1205%
Prime Health Sherriff $117 1205%
Corvel Corporation $125 1287%
Careworks (Rockport) $128 1318%
Prime Health $128 - $880 1318%
Vail Health $149 1535%
Evernorth Bh $187 1926%
Western Plains Community Health $635 6540%
Northcare $684 7044%
Physician Health Partners $684 7044%
Medical Development International $782 8054%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 S 23Rd St, Fort Pierce, FL 34950
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals