Blood test, average blood sugar (A1c)
Facility: University Of Kansas Hospital
Billing Code: 83036 (CPT)
- CPT Billing Code: 83036
- Insurance Median: $32
- Cash Discount Price: $9
- vs. Medicare Baseline: 3.30x 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 330% of the Medicare baseline (a markup of 230%). 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 |
|---|---|---|
| Larned State Hospital [503200090] | $13 | 134% |
| Health Plan Inc [503999941] | $21 | 216% |
| Accarent Health [503999034] | $22 | 227% |
| Alt Carelon Behavioral Health [503200905] | $22 | 227% |
| Php [503200005] | $26 - $33 | 268% |
| Allied National [503999937] | $26 - $27 | 268% |
| Med-Pay [503200040] | $27 | 278% |
| Geha [503200036] | $27 | 278% |
| Healthlink [503200007] | $27 - $33 | 278% |
| Cerner [503200038] | $27 | 278% |
| Inter-Americas Insurance [503999032] | $27 | 278% |
| Alt Wppa [5032000964] | $27 | 278% |
| Cigna | $28 - $36 | 288% |
| First Health [5032000110] | $29 - $30 | 299% |
| Aha-Healthcare Preferred [503200050] | $29 - $30 | 299% |
| Blue Cross Blue Shield | $30 - $35 | 309% |
| Consolidated Billing [50311256] | $31 - $32 | 319% |
| Correct Care Solutions [50311253] | $31 - $32 | 319% |
| Ascension Living Hope [503201517] | $31 - $32 | 319% |
| Coeur Plan Services [503301517] | $31 - $32 | 319% |
| Orscheln Industries [503201608] | $33 - $34 | 340% |
| Alt Lineco [5032000976] | $34 - $35 | 350% |
| Empire Plan/Nyship [503200705] | $34 - $35 | 350% |
| Alt Lucent Health Solutions [503202603] | $34 - $35 | 350% |
| Quiktrip [5032000412] | $35 - $36 | 360% |
| Century Health Solutions [503200054] | $35 - $36 | 360% |
| Point Comfort Underwriters [503200018] | $35 - $36 | 360% |
| Wppa [503200056] | $37 - $38 | 381% |
| Meritain Health [503200039] | $37 - $38 | 381% |
| Employers Health Network [503999025] | $40 | 412% |
| Usa Managed Care [503999030] | $40 | 412% |
| Plan Care America [503999026] | $40 | 412% |
| Three Rivers Provider Network [503999029] | $40 | 412% |
| Sanford Health Plan [503999027] | $40 | 412% |
| Workers Comp [503999901] | $42 - $82 | 433% |
Consumer Guidance & Cost Commentary
For this blood sugar (A1c) test at University Of Kansas Hospital, the cash price is $9.00, which is significantly lower than the facility's gross charge of $45.00. While many insurance plans negotiate rates ranging from $13 to $42, these amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying cash upfront. The facility offers a prompt-pay discount for those who settle the bill immediately, and patients should explicitly request a self-pay classification before scheduling to avoid automatic insurance billing that could void the discount.
The facility's negotiated rates average $32.00, which is higher than the cash rate but generally aligns with the median paid amount of $27.00 across payers. It is important to note that Medicare sets the benchmark for this service at $9.71, and commercial rates typically range from 200% to 300% of this amount due to administrative costs and contract structures. If you receive a bill that appears to be a balance bill from an out-of-network provider, you may be protected under the No Surprises Act, which prohibits providers from charging you the difference between their full rate and what your insurance pays for emergency or non-emergency services at in-network facilities.