Blood test, average blood sugar (A1c)
Facility: Via Christi Hospital Wichita St Teresa, Inc
Billing Code: 83036 (CPT)
- CPT Billing Code: 83036
- Insurance Median: $10
- Cash Discount Price: Unavailable
- 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 |
|---|---|---|
| Smarthealth | $8 - $14 | 82% |
| Humana | $10 | 103% |
| Saint Lukes Health Systems | $10 | 103% |
| Blue Cross Blue Shield | $10 | 103% |
| Vc Hope | $10 | 103% |
| Va | $10 | 103% |
| Medicare (plans) | $10 | 103% |
| UnitedHealthcare | $10 - $27 | 103% |
| Via Christi Research | $10 | 103% |
| Corizon | $12 | 124% |
| Medicaid / KanCare | $17 | 175% |
| Aetna | $30 | 309% |
| Coventry City Of Wichita | $39 | 402% |
Consumer Guidance & Cost Commentary
For the blood sugar (A1c) test at Via Christi Hospital Wichita St Teresa, Inc, the facility's negotiated rates range from $8 to $39 depending on your specific insurance plan, with a median negotiated amount of $10.00. This rate is consistent with the Medicare benchmark of $9.71, indicating that the facility's pricing aligns closely with the federal government's cost-based standard for this service. While commercial insurance contracts often result in higher administrative costs that can inflate rates to 200% or more of the Medicare baseline, this particular code shows a negotiated rate that is only marginally higher than the Medicare amount, suggesting a competitive pricing structure for in-network members.
Patients with high-deductible plans or those without insurance may find that paying cash directly is more cost-effective than relying on insurance, as the cash price for this test is not listed, but the low median negotiated rate of $10.00 suggests that upfront payment could be significantly cheaper than the full allowed amount charged by some insurers. It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, unexpected charges can still occur if ancillary services are not covered under the same contract. To ensure you receive the best possible rate, we recommend asking the hospital directly about self-pay or prompt-pay discounts, which can offer a fee reduction of 20% to 50% for upfront payment, effectively bypassing the administrative overhead associated with insurance claims processing.