CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Frankfort Regional Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $67
Cash Discount Price: $372
vs. Medicare Baseline: 6.90x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Frankfort Regional Medical Center is $67. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $372. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 6.90x the Medicare baseline. Located in 299 Kings Daughters Drive, Frankfort, KY.

Cash / Self-Pay

$372

Average discount available for prompt cash payment at this facility.

Insurance Median

$67

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$9.71

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $9.71 (100%)

Cash / Self-Pay: $372 (3831%)

Insurance Median: $67 (690%)

Cash: $372 (3831% of Medicare)

Ins. Median: $67 (690% of 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 690% of the Medicare baseline (a markup of 590%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Cross Blue Shield	$8 - $10	82%
Humana	$9 - $139	93%
Aetna	$10	103%
Coventry Cares	$10	103%
Devoted Health	$10	103%
Horizon Pace	$10	103%
Molina	$10	103%
United	$10 - $226	103%
United Behavioral Health	$10	103%
United Va	$10	103%
Wellcare	$10 - $11	103%
Corvel	$39 - $81	402%
Prime Health	$39 - $81	402%
Signature Advantage	$46 - $95	474%
Cigna	$71 - $148	731%
Essence Healthcare	$109 - $226	1123%
Baptist Health Network	$131 - $271	1349%
Hospice Of Central Kentucky	$153 - $316	1576%
Occupational Mc Alliance	$194 - $401	1998%
Multiplan	$231 - $477	2379%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $372.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 83036.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Frankfort Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 83036.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.