Blood test, average blood sugar (A1c)
Facility: Bob Wilson Memorial Hospital
Billing Code: 83036 (CPT)
- CPT Billing Code: 83036
- Insurance Median: $103
- Cash Discount Price: $50
- vs. Medicare Baseline: 10.61x 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 1061% of the Medicare baseline (a markup of 961%). 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 |
|---|---|---|
| Centura Employee Plan | $12 | 124% |
| Humana | $40 | 412% |
| UnitedHealthcare | $40 - $105 | 412% |
| Aetna | $40 - $101 | 412% |
| Medicare (plans) | $40 | 412% |
| Kansas Health | $40 | 412% |
| Blue Cross Blue Shield | $48 | 494% |
| Multiplan | $113 - $117 | 1164% |
| Health Partners Of Kansas | $118 | 1215% |
| Wppa | $120 | 1236% |
Consumer Guidance & Cost Commentary
For the blood sugar (A1c) test at Bob Wilson Memorial Hospital in Ulysses, Kansas, the facility's negotiated rates range from $40 to $120 across ten different insurance plans, with a median negotiated amount of $103. This is notably higher than the state average for this service, which is $10.60. While commercial insurance contracts often result in higher prices due to administrative costs and network tiering, patients with high-deductible plans might find the cash price of $50 more advantageous, as it is significantly lower than the median negotiated rate. It is important to verify your specific plan's allowed amount before scheduling, as in-network rates can vary widely between facilities.
To potentially lower your out-of-pocket costs, you should contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% for upfront payment. Additionally, since Medicare sets a benchmark of $9.71 for this procedure, the commercial negotiated rates reflect a substantial markup common in the healthcare system. If you receive a bill, always request a full itemized statement to review every charge and ensure no errors or unbundled codes are included, as over 80% of hospital bills contain discrepancies.