CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: HCA Florida Poinciana Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $15
  • Cash Discount Price: $553
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at HCA Florida Poinciana Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $553. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.54x the Medicare baseline. Located in 325 Cypress Pkwy, Kissimmee, FL.
Cash / Self-Pay
$553

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $553 (5695%)
Insurance Median: $15 (154%)
Cash: $553 (5695% of Medicare)
Ins. Median: $15 (154% 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
Humana $9 - $155 93%
Aetna $10 - $166 103%
Align Senior Care $10 103%
American Health Plan $10 103%
Avmed $10 - $276 103%
Blue Cross Blue Shield $10 103%
Cigna $10 103%
Devoted Health $10 103%
Fl Health Care Plan $10 103%
Florida Complete Care $10 103%
Ndms Definitive Care $10 103%
Sunshine State $10 103%
United $10 - $249 103%
Wellcare $10 103%
Wellmed $10 103%
Careplus $11 113%
Centurion $11 113%
Clear Spring Health $11 113%
Gold Kidney Of Florida $11 113%
Ultimate Health Plan $11 113%
Longevity Health Plan $12 124%
Oscar $14 144%
Solis Health Plan $14 144%
Simply Healthcare $15 154%
Freedom Health $40 412%
Optimum $40 412%
Simply $85 875%
Molina Healthcare $105 - $149 1081%
Corvel Corporation $120 1236%
Prime Health $123 1267%
Careworks (Rockport Community) $127 1308%
Evolutions $127 1308%
Sunshine State Health Plan $141 1452%
Plotkin Health $276 2842%
Prime Health Sheriff $276 2842%
Multiplan $415 - $470 4274%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 325 Cypress Pkwy, Kissimmee, FL 34758
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals