CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Artesia General Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $141
Cash Discount Price: $154
vs. Medicare Baseline: 14.52x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Artesia General Hospital is $141. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $154. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 14.52x the Medicare baseline. Located in 702 N 13Th Street, Artesia, NM.

Cash / Self-Pay

$154

Average discount available for prompt cash payment at this facility.

Insurance Median

$141

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: $154 (1586%)

Insurance Median: $141 (1452%)

Cash: $154 (1586% of Medicare)

Ins. Median: $141 (1452% 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 1452% of the Medicare baseline (a markup of 1352%). 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
Zelis	$8 - $139	82%
Blue Cross Blue Shield	$10 - $209	103%
Geha	$10 - $278	103%
Humana	$10 - $11	103%
Molina Healthcare Of New Mexico	$10 - $16	103%
Presbyterian Health Plan	$10 - $16	103%
Triwest	$10	103%
UnitedHealthcare	$10 - $296	103%
Vistacare Hospice	$10	103%
First Health	$15 - $313	154%
New Mexico Health Connections	$17	175%
Providence Risk & Insurance Services	$19 - $331	196%
Omni Networks	$116 - $244	1195%
Three Rivers Provider Network	$124 - $261	1277%
Cigna	$141 - $313	1452%
Galaxy Health	$149 - $313	1535%
One Health Plan	$149 - $313	1535%
Multiplan	$151 - $317	1555%
United Payors & United Providers	$154 - $324	1586%

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 $154.
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 Artesia General Hospital 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.