Blood test, average blood sugar (A1c)
Facility: Scott County Hospital
Billing Code: 83036 (CPT)
- CPT Billing Code: 83036
- Insurance Median: $110
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 11.33x 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 1133% of the Medicare baseline (a markup of 1033%). 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 | $10 - $116 | 103% |
| Blue Cross Blue Shield | $36 | 371% |
| Humana | $51 | 525% |
| Wppa | $73 - $1,200 | 752% |
| Aetna | $110 | 1133% |
Consumer Guidance & Cost Commentary
For this blood sugar test at Scott County Hospital in Scott City, KS, the negotiated rates range from $10 to $1,200 depending on your specific insurance plan, with a median negotiated amount of $110. This facility is a Critical Access Hospital with a voluntary non-profit ownership structure. While the facility's negotiated rate of $110 is higher than the Medicare benchmark of $9.71, it is important to note that commercial insurance rates often include administrative costs and contract premiums that can inflate the price significantly above the true cost of care. If you have a high-deductible plan where your deductible has not yet been met, you may be responsible for paying the full negotiated rate, which could exceed the cash price. In such cases, paying out-of-pocket might be more financially advantageous, provided you confirm the cash price with the hospital before scheduling.
To minimize costs, we recommend asking the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if you pay upfront. Additionally, since over 80% of hospital bills contain errors, we strongly advise requesting a detailed, itemized statement before agreeing to pay. This allows you to verify that all charges are accurate and that no services were unbundled or billed twice. While the data provided does not include specific cash or state/county average figures for comparison, it is always prudent to compare the facility's allowed amounts against other in-network providers to ensure you are receiving fair pricing for this essential diagnostic service.