CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Boys Town National Research Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $44
  • Cash Discount Price: $47
  • vs. Medicare Baseline: 4.53x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Boys Town National Research Hospital is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $47. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 4.53x the Medicare baseline. Located in 14000 Boys Town Hospital Road, Boys Town, NE.
Cash / Self-Pay
$47

Average discount available for prompt cash payment at this facility.

Insurance Median
$44

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: $47 (484%)
Insurance Median: $44 (453%)
Cash: $47 (484% of Medicare)
Ins. Median: $44 (453% 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 453% of the Medicare baseline (a markup of 353%). 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
Molina Of Nebraska $9 93%
Nebraska Total Care $9 93%
UnitedHealthcare $9 - $39 93%
Medica $20 - $47 206%
Elap Omaha Firefighters $32 330%
Nfm Paramount $39 - $47 402%
Aetna $44 453%
First Health $44 453%
Methodist $44 453%
Blue Cross Blue Shield $47 - $57 484%
Health Partners $47 484%
Midlands Choice $47 484%
Phcs-Multiplan $47 - $50 484%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 14000 Boys Town Hospital Road, Boys Town, NE 68010
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens