Blood test, average blood sugar (A1c)
Facility: Morris County Hospital
Billing Code: 83036 (CPT)
- CPT Billing Code: 83036
- Insurance Median: $50
- Cash Discount Price: $77
- vs. Medicare Baseline: 5.15x 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 515% of the Medicare baseline (a markup of 415%). 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 |
|---|---|---|
| Providrs Care (Wppa)(Nexus)-All Plans | $10 | 103% |
| Va Ccn-All Plans | $13 | 134% |
| Aetna | $13 | 134% |
| Blue Cross Blue Shield | $34 - $50 | 350% |
| Coventry Mcr | $50 | 515% |
| Choice Care Mcr Adv-All Plans | $50 | 515% |
| UnitedHealthcare | $50 - $129 | 515% |
| Cigna | $93 | 958% |
| Multiplan-All Plans | $116 | 1195% |
| Coventry Comm-All Other Plans | $116 | 1195% |
Consumer Guidance & Cost Commentary
For the blood sugar test (A1c) at Morris County Hospital in Council Grove, Kansas, the facility's cash median rate is $77.00, which is significantly lower than the negotiated rates paid by most insurance plans. While the facility's negotiated average is $50.00, several major payers such as UnitedHealthcare and Blue Cross Blue Shield have negotiated rates ranging from $50.00 to $129.00, meaning patients with high-deductible plans might save money by paying the cash price directly, provided they qualify for a self-pay discount. It is important to note that this facility is a Critical Access Hospital owned by the local government, and while the cash rate offers a clear baseline, patients should verify if their specific insurance plan has a lower allowed amount before scheduling to avoid unexpected costs.
The data indicates that the facility's cash rate of $77.00 is notably higher than the state of Kansas average for this service, which is $49.00. Although the facility's negotiated rate of $50.00 is slightly above the state average, the wide variation in payer rates—ranging from $10.00 for some plans to $129.00 for others—highlights the importance of checking your specific plan's allowed amount. Patients should be aware that commercial rates often include administrative overhead, and since the cash price is lower than many negotiated rates, requesting a prompt-pay discount before check-in could further reduce the final bill. Always confirm the exact self-pay or prompt-pay discount available with the hospital's billing department prior to receiving services.