Blood test, average blood sugar (A1c)
Facility: Osborne County Memorial Hospital
Billing Code: 83036 (CPT)
- CPT Billing Code: 83036
- Insurance Median: $61
- Cash Discount Price: $62
- vs. Medicare Baseline: 6.28x 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 628% of the Medicare baseline (a markup of 528%). 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 |
|---|---|---|
| UnitedHealthcare | $40 - $70 | 412% |
| Health Partners Of Kansas | $46 - $79 | 474% |
| Wppa | $50 - $87 | 515% |
| Blue Cross Blue Shield | $52 - $90 | 536% |
Consumer Guidance & Cost Commentary
For the blood sugar (A1c) test at Osborne County Memorial Hospital in Osborne, KS, the cash median price is $62.00, which is lower than the facility's gross charge of $73.00. While the facility is a Critical Access Hospital owned by the local government, patients should be aware that insurance negotiated rates can sometimes exceed cash prices. For instance, UnitedHealthcare's negotiated range is $40 to $70, and Blue Cross Blue Shield's range is $52 to $90; if a patient has a high deductible plan, paying the $62.00 cash price directly may result in lower out-of-pocket costs compared to the insurer's allowed amount. To maximize savings, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can bypass administrative costs and lower the final bill.
It is important to distinguish between the facility's gross charges and the actual costs covered by insurance or Medicare. The Medicare amount for this service is $9.71, which serves as a benchmark for fair pricing, while the facility's negotiated rates average $61.00. Although the data does not provide specific county or state average comparisons for this exact code, patients should avoid accepting summary bills that obscure individual line items, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. If a patient receives a bill from an out-of-network provider at this in-network facility, they may be protected by the No Surprises Act, which bans balance billing for emergency and non-emergency services. To ensure accuracy, patients should request a full itemized CPT-coded