CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Bayou Bend Health System

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $34
  • Cash Discount Price: $41
  • vs. Medicare Baseline: 3.50x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Bayou Bend Health System is $34. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $41. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 3.50x the Medicare baseline. Located in 1097 Northwest Blvd, Franklin, LA.
Cash / Self-Pay
$41

Average discount available for prompt cash payment at this facility.

Insurance Median
$34

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: $41 (422%)
Insurance Median: $34 (350%)
Cash: $41 (422% of Medicare)
Ins. Median: $34 (350% 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 350% of the Medicare baseline (a markup of 250%). 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
UnitedHealthcare $9 - $30 93%
Blue Cross Blue Shield $13 - $43 134%
Tricare $20 - $27 206%
Aetna $22 - $41 227%
Dignity Mcr Adv Ip/Op Only-All Plans $22 - $30 227%
Humana $22 - $40 227%
Sterling Hp Mcr Adv Ip/Op Only-All Plans $22 - $30 227%
Verity Healthnet Mcr Adv Ip/Op Only $22 - $30 227%
Wellcare Mcr Allwell Ip/Op Only-All Plans $22 - $30 227%
Ambetter / Centene $26 - $35 268%
Amerihealth Caritas Mcaid Ip/Op Only-All Plans $32 - $43 330%
Cigna $32 - $43 330%
La Health Mcaid Ip/Op Only $32 - $43 330%
Verity Healthnet Mcaid Ip/Op Only $32 - $43 330%
Diocese Of Lafaytte Ip/Op Only-All Plans $34 - $46 350%
Gilsbar 360 Ip/Op Only-All Plans $34 - $46 350%
Verity Healthnet Ip/Op Only-All Other Plans $34 - $46 350%
Ccn/First Health Ip/Op Only-All Plans $36 - $49 371%
Integrated Hp Multiplan Ip/Op Only-All Plans $36 - $49 371%
Ppo Plus / Zelis Ip/Op Only-All Plans $36 - $49 371%
Geha Ppo Ip/Op Only-All Plans $38 - $52 391%
Usa Mco Ip/Op Only-All Plans $38 - $52 391%
Galaxy Ip/Op Only-All Plans $40 - $55 412%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1097 Northwest Blvd, Franklin, LA 70538
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals