CMS Price Transparency Data
Blood test, average blood sugar (A1c)
Facility: Avoyelles Hospital
Billing Code: 83036 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 83036
- Insurance Median: $116
- Cash Discount Price: $58
- vs. Medicare Baseline: 11.95x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Avoyelles Hospital is $116. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $58. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 11.95x the Medicare baseline. Located in 4231 Highway 1192, Marksville, LA.
Cash / Self-Pay
$58
Average discount available for prompt cash payment at this facility.
Insurance Median
$116
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: $58 (597%)
Insurance Median: $116 (1195%)
Cash: $58 (597% of Medicare)
Ins. Median: $116 (1195% 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 1195% of the Medicare baseline (a markup of 1095%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Humana | $9 - $109 | 93% |
| Aetna | $10 - $108 | 103% |
| Bankers Life | $10 | 103% |
| Champva | $10 | 103% |
| Cigna | $10 - $109 | 103% |
| Correct Cr Int Hlt | $10 - $40 | 103% |
| Mcd Amerihealth Caritas | $10 - $40 | 103% |
| Mcd Healthy Blue | $10 - $40 | 103% |
| Mcd La Hc Conn | $10 - $40 | 103% |
| Mcr Lagniappe | $10 | 103% |
| Medeico Ins Co | $10 | 103% |
| Medicaid / KanCare | $10 - $40 | 103% |
| Medicare (plans) | $10 | 103% |
| Mmc Allwell | $10 | 103% |
| Mmc Blue Advantage | $10 | 103% |
| Mmc Healthy Blue Dual Adv | $10 | 103% |
| Mmc Mcr Hmo Miscellaneous | $10 | 103% |
| Mmc Priority Hlth Pffs | $10 | 103% |
| Mmc Vantage Hlth | $10 | 103% |
| Mmc Wellcare | $10 | 103% |
| Mutual Of Omaha | $10 | 103% |
| Neba Inc | $10 | 103% |
| Philadelphia American Lif | $10 | 103% |
| Sentinel Security Life | $10 | 103% |
| Trustmark Health Benefits | $10 - $192 | 103% |
| Tunica Biloxi | $10 - $192 | 103% |
| United Amer Ins | $10 | 103% |
| UnitedHealthcare | $10 - $40 | 103% |
| Veterans Evaluation Serv | $10 | 103% |
| Wps Vacca | $10 | 103% |
| Mcd Ms | $11 - $44 | 113% |
| All Savers | $12 | 124% |
| Geha | $12 | 124% |
| United Hlth One | $12 | 124% |
| Gulf South Zelis | $13 | 134% |
| Amer Contl Ins | $15 - $108 | 154% |
| Blue Cross Blue Shield | $15 | 154% |
| Coventry | $15 - $108 | 154% |
| First Choice Health | $15 - $108 | 154% |
| Meritan Health | $15 - $192 | 154% |
| Ofc Of Grp Bene | $15 | 154% |
| Student Assurances | $58 - $192 | 597% |
| Ppo Plus Llc | $116 | 1195% |
| Zelis Healthcare Bpa | $116 | 1195% |
| Gilsbar | $121 | 1246% |
| Amerind | $173 | 1782% |
| Applied Underwriters | $173 | 1782% |
| Sedgwick | $173 | 1782% |
| Us Dept Of Labor | $173 | 1782% |
| Wc Clms Admin Svcs | $173 | 1782% |
| Wc Clms Mgmnt Walmart | $173 | 1782% |
| Wc Esis | $173 | 1782% |
| Wc Fara | $173 | 1782% |
| Wc Gallagher Bassett | $173 | 1782% |
| Wc Guide One | $173 | 1782% |
| Wc Hartford Med | $173 | 1782% |
| Wc Luba | $173 | 1782% |
| Wc Lwcc | $173 | 1782% |
| Wc Paragon Casino Resort | $173 | 1782% |
| Wc Risk Mgmnt | $173 | 1782% |
| Wc Stone Trust | $173 | 1782% |
| Wc Summit Consulting Hold | $173 | 1782% |
| Wc Travelers Ins | $173 | 1782% |
| Wc Trs Workers Comp Claim | $173 | 1782% |
| Wc Us Dol | $173 | 1782% |
| Wc Zurich | $173 | 1782% |
| Aarp | $192 | 1977% |
| Admin Concepts | $192 | 1977% |
| All Saints Hospice | $192 | 1977% |
| All State | $192 | 1977% |
| Allegiance Health Hospice | $192 | 1977% |
| Allied Natl | $192 | 1977% |
| Amfirst | $192 | 1977% |
| Avoy Parish School Board | $192 | 1977% |
| Avoyelles Parish Sheriff | $192 | 1977% |
| Bollinger | $192 | 1977% |
| Ccmsi | $192 | 1977% |
| Central States | $192 | 1977% |
| Christus Health Plan | $192 | 1977% |
| Compassionate Care Hospic | $192 | 1977% |
| Core Source | $192 | 1977% |
| Coushatta Hlth Dept | $192 | 1977% |
| Ebms | $192 | 1977% |
| Federated Ins | $192 | 1977% |
| Feedom Life | $192 | 1977% |
| Fidelity Standard Life Co | $192 | 1977% |
| Fox Everette | $192 | 1977% |
| Guarantee Trust | $192 | 1977% |
| Heart Of Hospice | $192 | 1977% |
| Hos Christus Hospice | $192 | 1977% |
| Hos Guardian Hospice Care | $192 | 1977% |
| Hos Harbor Hospice Alex | $192 | 1977% |
| Hos La Hospice Palliative | $192 | 1977% |
| Hos Passages Hospice N. | $192 | 1977% |
| Hos St Joseph Hospice | $192 | 1977% |
| Hospice Miscellaneous | $192 | 1977% |
| Ins Mgmnt Admin | $192 | 1977% |
| Ins Tpa | $192 | 1977% |
| Liberty Health Share | $192 | 1977% |
| Lumico | $192 | 1977% |
| Manhattan Life Ins | $192 | 1977% |
| Medi Share | $192 | 1977% |
| Misc Comm | $192 | 1977% |
| Nalc | $192 | 1977% |
| New Era Life | $192 | 1977% |
| North American | $192 | 1977% |
| Phcs | $192 | 1977% |
| Physicians Mutual | $192 | 1977% |
| Pipeline Ind Bene | $192 | 1977% |
| Progressive Auto | $192 | 1977% |
| Reliance Standard Life | $192 | 1977% |
| Rural Carriers | $192 | 1977% |
| Shelter Ins Co | $192 | 1977% |
| Sierre Health And Life | $192 | 1977% |
| State Farm | $192 | 1977% |
| State Mutual | $192 | 1977% |
| Sterling Investors | $192 | 1977% |
| The Health Plan | $192 | 1977% |
| Tribal Hlth Partners | $192 | 1977% |
| Tricare | $192 | 1977% |
| Uct | $192 | 1977% |
| Unified Life | $192 | 1977% |
| Usaa Life Ins | $192 | 1977% |
| Web-Tpa | $192 | 1977% |
| Woodmen Of The World | $192 | 1977% |