CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: St Lucie Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $12
  • Cash Discount Price: $411
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at St Lucie Medical Center is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $411. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.24x the Medicare baseline. Located in 1800 Se Tiffany Ave, Port Saint Lucie, FL.
Cash / Self-Pay
$411

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: $411 (4233%)
Insurance Median: $12 (124%)
Cash: $411 (4233% 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 $3 - $125 31%
Optimum $3 - $67 31%
Avmed $5 - $392 51%
Simply Healthcare Plans $5 - $102 51%
Molina $7 - $211 72%
Health Sun Health Plan $8 - $167 82%
Aetna $10 - $235 103%
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%
Hospice Of Treasure Coast $10 103%
Hospice Treasure Coast $10 103%
Humana $10 - $313 103%
Ndms Definitive Care $10 103%
Prominence Healthfirst $10 103%
Sunshine State $10 - $11 103%
Sunshine State Health Plan $10 - $200 103%
Ultimate Health Plan $10 103%
United $10 - $352 103%
United Behavioral Health $10 103%
Veterans Evaluation Services $10 103%
Wellmed $10 103%
Centurion $11 113%
Amerihealth Caritas $12 124%
Longevity Health Plan $12 124%
Solis Health Plan $14 144%
United Ppo $17 - $345 175%
Oscar $19 196%
Plotkin Health $20 - $392 206%
Prime Health Sherriff $20 - $392 206%
Simply Healthcare $22 227%
Multiplan $29 - $666 299%
Corvel Corporation $125 1287%
Careworks (Rockport) $128 1318%
Prime Health $128 1318%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals