Blood test, average blood sugar (A1c)
Facility: Kansas Medical Center Llc
Billing Code: 83036 (CPT)
- CPT Billing Code: 83036
- Insurance Median: $10
- Cash Discount Price: $41
- 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 |
|---|---|---|
| United | $6 | 62% |
| Indian Health | $9 | 93% |
| Ambetter / Centene | $10 | 103% |
| Medicaid / KanCare | $10 | 103% |
| Blue Cross Blue Shield | $10 - $23 | 103% |
| Humana | $10 | 103% |
| Medadv_Wellcare | $10 | 103% |
| Three_Rivers | $19 | 196% |
| Wppa | $26 - $29 | 268% |
| Aetna | $31 | 319% |
Consumer Guidance & Cost Commentary
For the CPT code 83036, representing an average blood sugar (A1c) test at Kansas Medical Center Llc in Andover, KS, the facility's cash median price is $41.00, while the median amount paid by insurance is $55.00. This cash rate is notably lower than the facility's negotiated rates, which range from $6.00 to $31.00 depending on the specific insurance plan. For patients with high-deductible plans, paying cash upfront at $41.00 may be more cost-effective than relying on insurance, as the negotiated rates often exceed the cash price. Additionally, patients should inquire about "self-pay" or "prompt-pay" discounts, which can further reduce the final bill by bypassing administrative processing fees and claims delays.
It is important to note that while the facility's cash rate is lower than its negotiated rates, the Medicare benchmark for this service is $9.71, which serves as the objective baseline for fair pricing. Commercial negotiated rates often include administrative overhead that inflates the cost above the true cost of care. If you receive a bill that includes balance billing for out-of-network ancillary services, such as emergency physician fees or lab tests, you may be entitled to protections under the No Surprises Act, which bans balance billing for non-emergency services at in-network facilities. Furthermore, since over 80% of hospital bills contain errors, you should request a full itemized audit before paying any summary bill to ensure no unbundled codes or services not rendered are included in your final charge.