CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Satanta District Hospital, Clinics, & Ltcu

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $35
  • Cash Discount Price: $44
  • vs. Medicare Baseline: 3.60x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Satanta District Hospital, Clinics, & Ltcu is $35. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $44. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 3.60x the Medicare baseline. Located in 401 Cheyenne, Satanta, KS.
Cash / Self-Pay
$44

Average discount available for prompt cash payment at this facility.

Insurance Median
$35

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$9.71

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $9.71 (100%)
Cash / Self-Pay: $44 (453%)
Insurance Median: $35 (360%)
Cash: $44 (453% of Medicare)
Ins. Median: $35 (360% of 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 360% of the Medicare baseline (a markup of 260%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Direct Benefit-All Plans $11 - $12 113%
UnitedHealthcare $14 - $50 144%
Berkley Net-All Plans $19 - $20 196%
Aetna $21 - $34 216%
Trustmark Health Benefits-All Plans $21 - $22 216%
Meritain Health-All Plans $21 - $22 216%
Ambetter / Centene $23 - $24 237%
Pinnacol-All Plans $26 - $28 268%
Axa Equitable - All Plans $26 - $28 268%
Medi-Share-All Plans $27 - $28 278%
Presbyterian-All Plans $29 - $30 299%
Kasb Work Comp - All Plans $30 - $32 309%
The Kempton Group Admin-All Plans $32 - $34 330%
Gpha(Wppa)-All Other Plans $33 - $35 340%
Auxiant - All Plans $33 - $35 340%
Wppa- All Plans $33 - $36 340%
Sisco-All Plans $34 - $36 350%
Gpha Employee Benefit Plan $34 - $36 350%
Emc-All Plans $34 - $36 350%
Providers Care Network- All Plans $34 - $36 350%
Regional Care(Wppa)-All Plans $35 - $38 360%
Employee Benefit-All Plans $35 - $38 360%
First Health -All Plans $36 - $38 371%
Triangle-All Plans $36 - $38 371%
One Call Physician-All Plans $36 - $38 371%
Blue Cross Blue Shield $37 - $40 381%
Tricare $38 - $40 391%
Christian Hospital Aid - All Plans $38 - $40 391%
Humana $40 - $43 412%
Cigna $41 - $44 422%
Luminare Health- All Plans $41 - $44 422%
Coresource-All Plans $42 - $45 433%
Deseret Mutual(Uhis)-All Plans $42 - $45 433%
Vaccn-All Plans $43 - $46 443%
Hma Llc-All Plans $45 - $48 463%
Reserve National-All Plans $45 - $48 463%
Wps Vapc-All Plans $45 - $48 463%
Medicaid / KanCare $47 - $50 484%

Consumer Guidance & Cost Commentary

For the blood sugar (A1c) test at Satanta District Hospital, the cash median price is $44.00, which is slightly lower than the facility's gross charge of $49.00. While the facility is a Critical Access Hospital in Kansas, the data does not provide specific county or state average figures for this procedure to make direct comparisons. However, it is important to note that for patients with high-deductible plans, paying the cash price of $44.00 upfront can sometimes be more cost-effective than relying on insurance, as commercial negotiated rates often exceed cash prices due to administrative overhead. Patients should verify their specific plan's deductible status before scheduling, as paying out-of-pocket may result in immediate coverage rather than a large surprise bill later.

The facility's negotiated rates vary significantly across different insurance carriers, ranging from a low of $11.00 with Direct Benefit-All Plans to a high of $50.00 with Medicaid/KanCare. The median negotiated rate across all payers is $35.00, which is lower than the cash price but higher than the Medicare benchmark of $9.71. This indicates a markup of approximately 360% over the Medicare rate, which is well above the typical fair pricing range of 120% to 150% of Medicare. To minimize costs, patients should request a prompt-pay discount if paying in full, as hospitals often offer reductions of 20% to 50% for upfront payments. Additionally, patients should always request an itemized bill to ensure no errors or unbundled charges are present before finalizing payment.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 Cheyenne, Satanta, KS 67870
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals