Blood test, average blood sugar (A1c)
Facility: Great Plains Of Sabetha
Billing Code: 83036 (CPT)
- CPT Billing Code: 83036
- Insurance Median: $49
- Cash Discount Price: $52
- vs. Medicare Baseline: 5.05x 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 505% of the Medicare baseline (a markup of 405%). 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 |
|---|---|---|
| Celtic Mcr Adv | $27 | 278% |
| Aetna | $27 - $53 | 278% |
| Celtic Comm Exchange-All Other Plans | $34 | 350% |
| Great West Healthcare-All Plans | $44 | 453% |
| UnitedHealthcare | $48 - $52 | 494% |
| Multiplan-Phcs-All Plans | $49 | 505% |
| Cigna | $49 | 505% |
| Century/Wppa/Providers-All Plans | $49 | 505% |
| Humana | $49 | 505% |
| Federated Mutual Ins-All Plans | $50 | 515% |
| Blue Cross Blue Shield | $52 | 536% |
| Medicaid / KanCare | $52 | 536% |
Consumer Guidance & Cost Commentary
For the CPT code 83036, representing an average blood sugar (A1c) test, the facility Great Plains Of Sabetha in Sabetha, KS, lists a cash median price of $52.00. This cash rate is identical to the facility's gross charge and matches the Medicare benchmark of $9.71 when adjusted for the local wage index, which serves as the objective baseline for fair pricing. While commercial negotiated rates range from $27 to $53 across 12 payers, with a median negotiated amount of $49.00, patients should note that the cash price is competitive and may be lower than the final out-of-pocket cost for those with high-deductible plans who have not yet met their coverage threshold.
To minimize costs, patients are encouraged to verify their specific insurance allowed amounts before scheduling, as in-network rates can vary significantly by carrier. If you choose to pay out-of-pocket, ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if settled upfront. Since the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, it is advisable to request an itemized bill to ensure no unbundled charges or services not rendered are included, as these errors can inflate the total significantly.