CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: HCA Florida Palms West Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $65
  • Cash Discount Price: $500
  • vs. Medicare Baseline: 6.69x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at HCA Florida Palms West Hospital is $65. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $500. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 6.69x the Medicare baseline. Located in 13001 Southern Blvd, Loxahatchee, FL.
Cash / Self-Pay
$500

Average discount available for prompt cash payment at this facility.

Insurance Median
$65

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: $500 (5149%)
Insurance Median: $65 (669%)
Cash: $500 (5149% of Medicare)
Ins. Median: $65 (669% 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 669% of the Medicare baseline (a markup of 569%). 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
Aetna $10 - $150 103%
Align $10 103%
American Health Plan $10 103%
Blue Cross Blue Shield $10 103%
Careplus Sfl $10 103%
Cigna $10 103%
Devoted Health $10 103%
Florida Complete Care $10 103%
Humana $10 - $170 103%
Ndms Definitive Care $10 103%
Oscar $10 - $14 103%
Prominence Healthfirst $10 103%
Sunshine State $10 - $11 103%
United $10 - $225 103%
Veterans Evaluation Services $10 103%
Wellmed $10 103%
Centurion $11 113%
Doctors Healthcare Plan $11 113%
Gold Kidney $11 113%
Amerihealth Caritas $12 - $15 124%
Longevity Health Plan $12 124%
Simply Healthcare $12 124%
Solis Health Plan $14 144%
Freedom Health $43 - $80 443%
Optimum $43 443%
Avmed $65 - $250 669%
Simply Healthcare Plans $65 669%
Molina $95 - $135 978%
Health Sun Health Plan $106 1092%
Aids Healthcare $110 - $600 1133%
Mmm Of Fl (Health Advantage Plan) $115 1184%
United Ppo $118 1215%
Corvel Corporation $126 1298%
Careworks (Rockport) $129 1329%
Prime Health $129 1329%
Sunshine State Health Plan $130 1339%
Health Care District $250 2575%
Palm Beach Juvenile Correction $250 2575%
Plotkin Health $250 2575%
Prime Health Sherriff $250 2575%
Medica Healthcare $290 2987%
Multiplan $375 - $425 3862%
Healthy Palm Beaches $550 5664%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 13001 Southern Blvd, Loxahatchee, FL 33470
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals