Blood test, average blood sugar (A1c)
Facility: Kiowa County Memorial Hospital
Billing Code: 83036 (CPT)
- CPT Billing Code: 83036
- Insurance Median: $68
- Cash Discount Price: $65
- vs. Medicare Baseline: 7.00x 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 700% of the Medicare baseline (a markup of 600%). 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 - $68 | 371% |
| UnitedHealthcare | $61 - $76 | 628% |
| Health Partners Of Ks-All Plans | $67 | 690% |
| Aetna | $68 | 700% |
| Humana | $68 | 700% |
| Medica Prime Mcare Cost-All Plans | $68 | 700% |
| Celtic Comml Exchange-All Other Plans | $68 | 700% |
| Medicaid / KanCare | $76 | 783% |
| Providrs Care/Wppa-All Plans | $114 | 1174% |
Consumer Guidance & Cost Commentary
For the CPT code 83036, representing an average blood sugar (A1c) test, the negotiated rates at Kiowa County Memorial Hospital in Greensburg, KS, range from $36 to $114 depending on your insurance carrier. The facility's median negotiated rate of $68.00 is notably higher than the state average, which sits at $65.00 for cash payments and $67.00 for median paid amounts. While Medicaid and several commercial plans pay the full $76.00 gross charge, other insurers like Blue Cross Blue Shield and UnitedHealthcare negotiate rates between $36 and $76. It is important to note that while in-network insurance provides a ceiling on costs, the negotiated rate often exceeds the cash price due to administrative overhead and contract dynamics. For patients with high-deductible plans, paying the cash price of $65.00 upfront could result in significant savings if their insurance would otherwise pay a negotiated rate higher than this amount.
Patients should proactively contact the hospital to inquire about self-pay or prompt-pay discounts, which can reduce the final bill by 20% to 50% when paid in full before or shortly after the service. Although the No Surprises Act protects consumers from balance billing for out-of-network providers at in-network facilities, it is crucial to request a waiver of insurance submission to ensure the cash discount is applied correctly and not voided by automatic claims processing. When reviewing your final invoice, always demand a detailed, itemized bill rather than accepting a summary statement, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. By comparing