Blood test, average blood sugar (A1c)
Facility: Kingman Healthcare Center
Billing Code: 83036 (CPT)
- CPT Billing Code: 83036
- Insurance Median: $9
- Cash Discount Price: $7
- vs. Medicare Baseline: 0.93x 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.
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 | $3 - $19 | 31% |
| Wellcare | $3 - $9 | 31% |
| Humana | $3 - $9 | 31% |
| Medicaid / KanCare | $3 - $10 | 31% |
| Ambetter / Centene | $3 - $9 | 31% |
| Celtic Insurance Company | $3 - $9 | 31% |
| Health Partners | $7 - $19 | 72% |
| Aetna | $7 - $19 | 72% |
| Cigna | $7 - $19 | 72% |
| Healthy Blue | $10 | 103% |
| Triwest | $10 | 103% |
Consumer Guidance & Cost Commentary
For the CPT code 83036, representing an average blood sugar (A1c) test, Kingman Healthcare Center lists a cash median price of $7.00, which is lower than the facility's gross charge of $14.00. While the facility is a Critical Access Hospital in Kingman, KS, with a voluntary non-profit ownership structure, the data does not provide specific county or state average rates for comparison. However, the facility's negotiated rates with major payers such as UnitedHealthcare, Wellcare, and Humana range between $3 and $9, while Medicaid/KanCare plans see rates between $3 and $9 as well. It is important to note that for patients with high-deductible plans, paying the cash price of $7.00 upfront may be more cost-effective than relying on insurance, as the negotiated rates paid by insurers often exceed the cash price due to administrative overhead and contract dynamics.
Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network services at in-network facilities, unexpected ancillary charges can still occur if specific lab components are billed separately. To avoid surprise costs, consumers should request a full itemized bill before paying and verify that all services rendered are correctly coded, as over 80% of hospital bills contain errors. Additionally, patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the final amount owed by 20% to 50% if paid in full within a short window. Since the facility's Medicare benchmark amount is $9.71, the cash price of $7.00 represents a significant discount relative