CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Ochsner Medical Center Acute

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $41
  • Cash Discount Price: $14
  • vs. Medicare Baseline: 4.22x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Ochsner Medical Center Acute is $41. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 4.22x the Medicare baseline. Located in 1516 Jefferson Hwy, New Orleans, LA.
Cash / Self-Pay
$14

Average discount available for prompt cash payment at this facility.

Insurance Median
$41

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: $14 (144%)
Insurance Median: $41 (422%)
Cash: $14 (144% of Medicare)
Ins. Median: $41 (422% 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 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.

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
Medicaid / KanCare $9 93%
Tricare $9 - $11 93%
Aetna $10 - $35 103%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan) $10 103%
Amerihealth Caritas Louisiana (Healthy Louisiana) $10 103%
Blue Cross Blue Shield $10 - $20 103%
Healthy Blue (Healthy Louisiana) $10 103%
Healthy Blue Dual Advantage (Hmo-D-Snp) $10 103%
Humana $10 103%
Louisiana Healthcare Connections (Healthy Louisiana) $10 103%
Medicare (plans) $10 103%
Ochsner Health Plan $10 103%
UnitedHealthcare $10 103%
Pace New Orleans $11 113%
Christus Health Exchange Plan $23 237%
First Health Network $41 - $46 422%
Louisiana Workers' Compensation Corporation (Lwcc) $41 - $46 422%
Mississippi Physicians Care Network $41 - $46 422%
Healthcomp & Personify Health (Formerly Gilsbar) $43 - $48 443%
Claritev D/B/A Multiplan/Phcs/American Life Care $44 - $49 453%
Zelis $44 - $49 453%
Cigna $47 484%
Employers Health Network (Ehn) $47 - $52 484%
Prime Health Services Ppo $47 - $52 484%
Usa Managed Care Network $47 - $52 484%
Behavioral Health Systems $50 - $55 515%
Evolutions Healthcare $50 - $55 515%
Galaxy Health Network Ppo $50 - $55 515%
Galaxy Health Network Wc $50 - $55 515%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1516 Jefferson Hwy, New Orleans, LA 70121
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals