Blood test, average blood sugar (A1c)
Facility: Amberwell Atchison Association
Billing Code: 83036 (CPT)
- CPT Billing Code: 83036
- Insurance Median: $50
- Cash Discount Price: $97
- 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 |
|---|---|---|
| Va Ccn - All Plans | $32 | 330% |
| UnitedHealthcare | $32 - $174 | 330% |
| Superior Select Mcr Adv - All Plans | $32 | 330% |
| Humana | $32 - $44 | 330% |
| Triwest - All Plans | $32 | 330% |
| Blue Cross Blue Shield | $34 - $36 | 350% |
| Ambetter / Centene | $50 | 515% |
| Aetna | $53 | 546% |
| Cigna | $53 | 546% |
| Oscar - All Plans | $73 | 752% |
| Centrus Health Direct - All Plans | $73 | 752% |
| Multiplan - All Plans | $76 | 783% |
| Wppa Providrs Care - All Plans | $87 | 896% |
Consumer Guidance & Cost Commentary
For the blood sugar (A1c) test at Amberwell Atchison Association, the cash price is $97.00, which matches the facility's negotiated rate for UnitedHealthcare and is significantly higher than the state average of $50.00. While commercial insurance plans like Aetna and Cigna negotiate rates of $53.00, these amounts remain above the state median and exceed the Medicare benchmark of $9.71. Because the cash price is lower than many in-network negotiated rates, patients with high-deductible plans may save money by paying out-of-pocket directly, provided they verify the facility's self-pay or prompt-pay discounts before scheduling.
It is important to note that the facility's negotiated rates for most payers, ranging from $32.00 to $87.00, are generally higher than the state average of $50.00, reflecting the administrative costs and contract structures inherent in commercial billing. To avoid unexpected costs, patients should request an itemized bill to ensure no services were unbundled or double-charged, as over 80% of hospital bills contain errors. Additionally, since the No Surprises Act prohibits balance billing for out-of-network services at in-network facilities, patients can confidently dispute any surprise charges without fear of credit damage, ensuring they only pay the agreed-upon negotiated amount or the cash price if they choose to pay directly.