Blood test, average blood sugar (A1c)
Facility: Providence Medical Center
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% |
| Celtic | $10 - $16 | 103% |
| Medicaid / KanCare | $10 | 103% |
| Healthy Blue | $10 | 103% |
| Aetna | $10 - $18 | 103% |
| Medicare (plans) | $10 | 103% |
| Cigna | $10 | 103% |
| Kansas Superior Select | $10 | 103% |
| Blue Cross Blue Shield | $10 - $23 | 103% |
| UnitedHealthcare | $10 - $16 | 103% |
| Corizon | $13 | 134% |
| Well Path Prison | $14 | 144% |
| Employer Direct Healthcare | $14 | 144% |
| Naphcare | $15 | 154% |
| Centurion | $15 | 154% |
| Comp Alliance - Fka Compresults Worker Compensation | $19 | 196% |
| Oha Networks | $21 | 216% |
| Worker Compensation | $21 | 216% |
Consumer Guidance & Cost Commentary
For this blood sugar test (A1c) at Providence Medical Center in Kansas City, KS, the cash median price is $9.00, which is significantly lower than the state average of $30.00. While many commercial insurance plans negotiate rates that average between $10 and $23, these negotiated amounts often exceed the cash price. Patients with high-deductible plans or those without insurance may find it financially advantageous to pay the cash rate directly, provided they confirm with the hospital that the service is classified as "self-pay" to ensure they qualify for prompt-pay discounts. It is important to verify the specific allowed amount for your plan before scheduling, as some insurers may apply their negotiated ceiling even if the cash price is lower.
The facility's Medicare benchmark rate is $9.71, which serves as a reliable baseline for evaluating pricing fairness, as commercial rates are often marked up significantly above this federal standard. Although the facility is a voluntary non-profit church-owned hospital, the data indicates that the cash price is already well below the typical commercial negotiated range seen across the 19 payers listed. To avoid unexpected costs, patients should request a full itemized bill before paying, ensuring no unbundled charges or services not rendered are included, and should dispute any balance billing immediately if they encounter it, as federal protections like the No Surprises Act may apply depending on the specific network status of the lab services involved.