Blood test, average blood sugar (A1c)
Facility: Saint John Hospital
Billing Code: 83036 (CPT)
- CPT Billing Code: 83036
- Insurance Median: $10
- Cash Discount Price: $9
- vs. Medicare Baseline: 1.03x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Tricare | $10 | 103% |
| Midland Care Connection | $10 | 103% |
| Aetna | $10 - $17 | 103% |
| Medicaid / KanCare | $10 | 103% |
| UnitedHealthcare | $10 - $14 | 103% |
| Cigna | $10 | 103% |
| Kansas Superior Select | $10 | 103% |
| Healthy Blue | $10 | 103% |
| Celtic | $10 - $62 | 103% |
| Medicare (plans) | $10 | 103% |
| Corizon | $14 | 144% |
| Employer Direct Healthcare | $14 | 144% |
| Well Path | $14 | 144% |
| Naphcare | $15 | 154% |
| Centurion | $15 | 154% |
| Blue Cross Blue Shield | $17 - $36 | 175% |
| Comp Alliance Workers Comp | $19 | 196% |
| Oha Networks | $21 | 216% |
| Worker Compensation | $21 | 216% |
Consumer Guidance & Cost Commentary
For the CPT code 83036, representing an average blood sugar (A1c) test, Saint John Hospital in Leavenworth, KS, lists a cash median price of $9.00 and a median negotiated rate of $10.00. This cash price is significantly lower than the facility's gross charge of $178.00 and aligns closely with the state average for Kansas. While many commercial payers, including Aetna and UnitedHealthcare, have negotiated rates ranging from $10.00 to $62.00 depending on the specific plan, the cash rate offers a substantial alternative for patients. For individuals with high-deductible plans who have not yet met their out-of-pocket maximum, paying the cash price of $9.00 upfront can be more cost-effective than relying on insurance, which may result in higher out-of-pocket costs if the negotiated rate exceeds the patient's deductible threshold.
Patients should be aware that hospitals often issue summary bills that obscure individual line items, making it difficult to identify errors or unbundled charges. To ensure you are paying the correct amount, request a full itemized bill that details every CPT code and unit cost before finalizing payment. Additionally, since Saint John Hospital is a voluntary non-profit facility, you may be eligible for prompt-pay discounts if you settle your balance in full within a short window, potentially reducing the total owed. Always verify your specific plan's allowed amount with the hospital's billing department prior to scheduling, as commercial rates vary widely across the 19 payers listed, with some plans like Celtic having negotiated rates as high as $62.00.