Blood test, average blood sugar (A1c)
Facility: Menorah Medical Center
Billing Code: 83036 (CPT)
- CPT Billing Code: 83036
- Insurance Median: $18
- Cash Discount Price: $217
- vs. Medicare Baseline: 1.85x 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 |
|---|---|---|
| Cigna | $5 - $174 | 51% |
| United | $9 - $98 | 93% |
| Home State Health Plan | $9 | 93% |
| Aetna | $9 - $111 | 93% |
| Devoted Health | $10 | 103% |
| Unicare | $10 | 103% |
| Blue Cross Blue Shield | $10 - $98 | 103% |
| Wellcare | $10 | 103% |
| Amerigroup | $10 | 103% |
| Healthyblue | $10 | 103% |
| Medicaid / KanCare | $10 | 103% |
| Celtic | $10 | 103% |
| Coventry | $10 - $87 | 103% |
| Pyramid Life | $10 | 103% |
| Triwest Health Alliance | $10 | 103% |
| Humana | $10 - $24 | 103% |
| Oscar | $15 | 154% |
| Multiplan | $17 - $161 | 175% |
| Corvel Corporation | $20 - $141 | 206% |
| Oha Network | $21 - $109 | 216% |
| Ambetter / Centene | $40 | 412% |
| Nhc Advantage | $41 | 422% |
| Wppa Providrs Care Network | $43 | 443% |
| Universal Healthcare | $76 | 783% |
| Coventry Kc Mo | $89 | 917% |
| College Park Family Care Center | $93 | 958% |
| Cco, Inc. | $163 | 1679% |
| Focus Healthcare Mgmt, Inc | $163 | 1679% |
Consumer Guidance & Cost Commentary
For the blood sugar (A1c) test at Menorah Medical Center in Overland Park, Kansas, the cash price is $217.00, which matches the facility's median negotiated rate. This cash price is significantly higher than the state average for this procedure, which is $9.71, and also exceeds the Medicare benchmark of $9.71 by a factor of nearly two. While commercial insurance plans like Cigna, United, and Aetna negotiate rates ranging from $5 to $174 depending on the specific plan, these negotiated amounts often exceed the cash price. Patients with high-deductible plans may find that paying the cash price of $217.00 upfront is more cost-effective than relying on insurance, as the insurer's allowed amount could be higher than the cash rate. It is important to verify your specific plan's allowed amount before scheduling, as assuming in-network coverage guarantees the lowest price can lead to unexpected costs if the negotiated rate exceeds the cash price.
To minimize potential billing surprises, patients should request a prompt-pay discount or self-pay rate before check-in, as hospitals often offer reductions for upfront payment to bypass administrative claim processing costs. If you receive a bill after using insurance, you should demand a full itemized CPT-coded statement rather than accepting a summary bill, as over 80% of hospital bills contain errors such as double-billing or unbundled codes. Under federal protections like the No Surprises Act, you are generally shielded from balance billing for out-of-network services at in-network facilities, but you must refuse to sign consent waivers that waive these rights for emergency or mandatory ancillary services. Finally, if you encounter a large bill