Blood test, average blood sugar (A1c)
Facility: Ascension Via Christi Rehabilitation Hospital Inc
Billing Code: 83036 (CPT)
- CPT Billing Code: 83036
- Insurance Median: $10
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.03x 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 |
|---|---|---|
| Smarthealth | $8 - $14 | 82% |
| UnitedHealthcare | $10 - $27 | 103% |
| Va | $10 | 103% |
| Blue Cross Blue Shield | $10 | 103% |
| Vc Hope | $10 | 103% |
| Humana | $10 | 103% |
| Medicare (plans) | $10 | 103% |
| Cigna | $15 | 154% |
| Medicaid / KanCare | $17 | 175% |
| Aetna | $30 - $34 | 309% |
| Coventry City Of Wichita | $39 | 402% |
Consumer Guidance & Cost Commentary
For the blood sugar (A1c) test at Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, the Medicare benchmark rate is $9.71. This federal baseline serves as the objective "true cost" for this service, calculated using local wage indexes and provider cost reports. While the facility's median negotiated rate with insurance payers is $10.00, this figure is only slightly above the Medicare benchmark, indicating a pricing structure that aligns closely with fair market value rather than the typical 200% to 300% markup often seen in commercial billing. Unlike many facilities that rely on inflated chargemaster lists to create the appearance of deep discounts, this provider's rates are transparent and grounded in the scientifically validated Medicare standard.
Patients should be aware that cash payments or prompt-pay discounts may offer a lower total cost than using insurance, particularly if the patient has a high deductible. Although the data does not list a specific cash price, the facility is a Part A provider and may offer self-pay or prompt-pay incentives that bypass insurance administrative fees and claim processing costs. To secure the best possible rate, patients should contact the hospital directly to confirm if a "self-pay" classification is available before scheduling, as waiting until after a claim is submitted can void potential cash discounts. Additionally, since the No Surprises Act prohibits balance billing for out-of-network services at in-network facilities, patients can rest assured that they will not be billed for the difference between a provider's full list price and their insurance allowed amount for this service.