Blood test, average blood sugar (A1c)
Facility: Minneola District Hospital
Billing Code: 83036 (CPT)
- CPT Billing Code: 83036
- Insurance Median: $42
- Cash Discount Price: $32
- vs. Medicare Baseline: 4.33x 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 433% of the Medicare baseline (a markup of 333%). 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 | $29 - $48 | 299% |
| Va Community Care Program-All Plans | $29 - $32 | 299% |
| Humana | $29 - $32 | 299% |
| Blue Cross Blue Shield | $36 | 371% |
| Providrs Care Network-All Plans | $37 - $41 | 381% |
| Corporate Plan Management-All Plans | $37 - $41 | 381% |
| Triwest-All Plans | $40 - $43 | 412% |
| Preferred Health Care (Coventry)-All Other Plans | $40 - $43 | 412% |
| Phc (Coventry) Leased Network | $42 - $46 | 433% |
| Aetna | $42 - $48 | 433% |
| Health Partners Of Kansas-All Plans | $42 - $46 | 433% |
| Medicaid / KanCare | $44 - $48 | 453% |
Consumer Guidance & Cost Commentary
For the blood sugar (A1c) test at Minneola District Hospital, the cash median price is $32.00, which is lower than the facility's negotiated rate of $42.00 and the state average of $40.00. While the facility is a Critical Access Hospital in Kansas, patients with high-deductible plans may find paying cash directly more cost-effective than using insurance, as the negotiated rates for in-network payers range from $29 to $48. It is important to verify your specific plan's allowed amount before scheduling, as some commercial contracts can exceed the cash price. Additionally, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before check-in, as these upfront fee reductions can further lower the total cost by bypassing administrative processing fees that inflate insurance billing cycles.
When reviewing your final invoice, ensure you request a full itemized bill rather than accepting a summary statement that obscures individual charges, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. This detailed audit is the most effective tool to identify double-billing or cancelled tests that should not be charged. Furthermore, this service's Medicare benchmark rate is $9.71, which serves as the objective baseline for evaluating pricing markups; commercial rates are often significantly higher than this federal standard due to administrative overhead and contract dynamics. By comparing your specific allowed amount against the Medicare rate rather than the inflated chargemaster list, you can better understand the true cost of care and identify any potential underpayment or unnecessary fees.