Blood test, average blood sugar (A1c)
Facility: Neosho Memorial Regional Medical Center
Billing Code: 83036 (CPT)
- CPT Billing Code: 83036
- Insurance Median: $41
- Cash Discount Price: $97
- vs. Medicare Baseline: 4.22x 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 422% of the Medicare baseline (a markup of 322%). 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 |
|---|---|---|
| Medicaid / KanCare | $10 | 103% |
| Blue Cross Blue Shield | $40 - $41 | 412% |
| Tricare | $40 | 412% |
| Medadv_Allwell | $41 | 422% |
| Medicare (plans) | $41 | 422% |
| Medadv_Uhc | $41 | 422% |
| Humana | $41 | 422% |
| Aetna | $41 | 422% |
| Va_Ccn | $41 | 422% |
| Ambetter / Centene | $43 | 443% |
| Wppa_Providrscare | $107 | 1102% |
| United | $107 | 1102% |
| Cigna | $122 | 1256% |
| Coventry | $122 | 1256% |
| Hpk | $122 | 1256% |
Consumer Guidance & Cost Commentary
For the CPT code 83036, representing an average blood sugar (A1c) test, Neosho Memorial Regional Medical Center in Chanute, KS, lists a cash median price of $97.00 and a median negotiated rate of $41.00 across 15 payers. This facility, a Critical Access Hospital with government-local ownership, reports a negotiated rate that is 4.2% higher than the Medicare benchmark of $9.71. While commercial insurance contracts often cap charges to protect members, the data indicates that the negotiated rate for this specific test is significantly lower than the facility's cash price, suggesting that paying out-of-pocket may not be the most cost-effective option for patients with high-deductible plans. Consumers should verify their specific plan's allowed amount, as some commercial contracts may negotiate rates that differ from the facility-wide median.
Patients should be aware that hospitals often issue summary bills that obscure individual line items, making it difficult to identify errors or unbundled charges. To ensure you are paying the correct amount, request a full itemized CPT-coded bill before finalizing payment, as over 80% of hospital bills contain errors that can be corrected through a formal written audit dispute. Additionally, since this facility offers a cash median price of $97.00, you may qualify for a prompt-pay discount if you choose to settle the balance upfront, which can reduce administrative costs and provide immediate liquidity to the provider. Always confirm your deductible status and ask about self-pay or prompt-pay discounts prior to scheduling to avoid unexpected costs.