Blood test, average blood sugar (A1c)
Facility: Hospital District #6 Patterson Health Center
Billing Code: 83036 (CPT)
- CPT Billing Code: 83036
- Insurance Median: $54
- Cash Discount Price: $48
- vs. Medicare Baseline: 5.56x 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 556% of the Medicare baseline (a markup of 456%). 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 | $34 - $36 | 350% |
| UnitedHealthcare | $54 - $60 | 556% |
| Providers Care (Wppa)-All Plans | $105 | 1081% |
Consumer Guidance & Cost Commentary
For the CPT code 83036, representing an average blood sugar (A1c) test, the facility's cash median price is $48.00, while the median negotiated rate for in-network insurance is $54.00. This test is performed at Hospital District #6 Patterson Health Center in Anthony, KS, a Critical Access Hospital. The facility's cash price is notably lower than the state average, which is $54.00, and the negotiated rate aligns exactly with the state average. For patients with high-deductible plans, paying the cash price of $48.00 upfront may be more cost-effective than the $54.00 negotiated rate, as the difference can be significant if the insurance deductible has not yet been met.
When reviewing your bill, it is important to request an itemized statement rather than accepting a summary invoice that obscures individual charges. Although the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, unexpected charges can still occur for ancillary services, so always verify the breakdown of your bill. If you choose to pay out-of-pocket, ask the billing department about prompt-pay discounts, which can further reduce the cost. Since the facility is a government-owned hospital district, their pricing structure may differ from private providers, but comparing the $48.00 cash rate against the $54.00 state average confirms that paying directly can result in immediate savings.