Blood test, average blood sugar (A1c)
Facility: University Of Kansas Health System - St Francis Campus
Billing Code: 83036 (CPT)
- CPT Billing Code: 83036
- Insurance Median: $30
- Cash Discount Price: $22
- vs. Medicare Baseline: 3.09x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 309% of the Medicare baseline (a markup of 209%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Lucent Health [6000] | $30 | 309% |
| Web Tpa [2115] | $30 | 309% |
| Oncology Patient Assistance Programs [2295] | $30 | 309% |
| Blue Cross Blue Shield | $30 | 309% |
| Aetna | $30 | 309% |
| Healthcare Highways [2210] | $30 | 309% |
| Black Lung [6055] | $30 | 309% |
| Hooray Health [8000] | $30 | 309% |
| Department Of Corrections [1340] | $37 | 381% |
| Cigna | $43 | 443% |
| American Postal Workers Union [1070] | $43 | 443% |
| National Association Of Letter Carriers [1695] | $43 | 443% |
| Healthpartners [1500] | $43 | 443% |
| Humana | $44 | 453% |
| Administrative Concepts [1005] | $57 | 587% |
| Multiplan [1680] | $57 | 587% |
| First Health [1375] | $57 | 587% |
| American Healthcare [1055] | $57 | 587% |
| Coventry Healthcare [1320] | $60 | 618% |
Consumer Guidance & Cost Commentary
For the blood sugar (A1c) test at the University of Kansas Health System - St Francis Campus in Topeka, the facility's cash median price of $22.00 is significantly lower than the negotiated rate of $30.00 and the gross charge of $74.00. This cash price is also notably lower than the Medicare benchmark of $9.71, which serves as the federal baseline for healthcare costs. While commercial insurance plans like Blue Cross Blue Shield and Aetna negotiate a standard rate of $30.00, patients with high-deductible plans may find paying the cash price upfront more cost-effective, as the insurance negotiated rate often exceeds the cash price. It is important to note that the facility is a voluntary non-profit church-owned hospital, and patients should verify their specific plan details before scheduling to ensure they understand their out-of-pocket responsibilities.
When comparing pricing to regional standards, the facility's cash rate of $22.00 is higher than the state average for this service, though the data provided does not include specific county averages for Topeka, Kansas. The facility's overall rating is 3 out of 5 stars. Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network providers at in-network facilities, it is crucial to request a self-pay or prompt-pay discount before check-in to avoid being billed the full negotiated amount. If you receive an itemized bill, you have the right to request a detailed audit to identify any errors, double-billing, or services not rendered, as over 80% of hospital bills contain inaccuracies. Always confirm your deductible status and ask for a written waiver of