Blood test, average blood sugar (A1c)
Facility: Kansas Surgery & Recovery Center
Billing Code: 83036 (CPT)
- CPT Billing Code: 83036
- Insurance Median: $10
- Cash Discount Price: $42
- 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 |
|---|---|---|
| UnitedHealthcare | $4 - $10 | 41% |
| Blue Cross Blue Shield | $10 - $24 | 103% |
| Aetna | $10 - $33 | 103% |
| Triwest | $10 | 103% |
| Cigna | $17 | 175% |
Consumer Guidance & Cost Commentary
For the CPT code 83036, representing an average blood sugar (A1c) test, the Kansas Surgery & Recovery Center lists a cash median price of $42.00. This cash rate is identical to the Medicare benchmark amount of $9.71 when adjusted for the facility's specific pricing structure, as indicated by a ratio of 1.0. While commercial payers such as UnitedHealthcare, Blue Cross Blue Shield, and Aetna negotiate rates ranging from $4 to $33 depending on the specific plan, patients with high-deductible plans may find the cash price more advantageous if the insurance negotiated rate exceeds $42.00. It is important to note that the facility's median negotiated rate is $10.00, which is significantly lower than the cash price, suggesting that utilizing insurance coverage could result in lower out-of-pocket costs for most members.
To ensure you are receiving the most accurate pricing, always request an itemized billing audit before finalizing payment, as summary bills often obscure individual code costs and potential errors. Since over 80% of hospital bills contain mistakes, such as unbundled charges or services not rendered, obtaining a detailed CPT-coded statement is the most effective way to verify the final amount. Additionally, because the facility is an acute care hospital in Wichita, KS, you should inquire directly about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if settled upfront. Finally, remember that while the facility is in-network for the listed payers, the No Surprises Act protects you from balance billing for out-of-network services at this location, so