Blood test, average blood sugar (A1c)
Facility: Logan County Hospital
Billing Code: 83036 (CPT)
- CPT Billing Code: 83036
- Insurance Median: $69
- Cash Discount Price: $20
- vs. Medicare Baseline: 7.11x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 711% of the Medicare baseline (a markup of 611%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $36 | 371% |
| Humana | $42 | 433% |
| Health Partners - All Plans | $95 | 978% |
| Medicaid / KanCare | $100 | 1030% |
Consumer Guidance & Cost Commentary
For the blood sugar test (CPT 83036) at Logan County Hospital in Oakley, Kansas, the negotiated rate for in-network payers is $69, which matches the facility's median negotiated amount. This rate is significantly higher than the Medicare benchmark of $9.71, reflecting the standard administrative markup inherent in commercial insurance contracts. While the facility is a Critical Access Hospital with government local ownership, patients should be aware that their specific insurance plan's negotiated rate may vary; for instance, Blue Cross Blue Shield and Humana both have a single plan paying $36 and $42 respectively, which are lower than the overall median but still represent the contractual ceiling for those specific policies.
Patients with high-deductible plans might find that paying the cash price of $20 upfront is more cost-effective than relying on insurance, as the negotiated rate of $69 often exceeds the cash price due to administrative overhead. It is crucial to verify your deductible status before scheduling, as paying the full negotiated rate without meeting your deductible can result in unexpected out-of-pocket costs. Additionally, you should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before check-in, as these upfront payment incentives can further reduce the bill by bypassing the costly claims processing cycle that inflates insurance rates.