CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Southern Hills Hospital and Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $10
  • Cash Discount Price: $662
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Southern Hills Hospital and Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $662. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.03x the Medicare baseline. Located in 9300 West Sunset Rd, Las Vegas, NV.
Cash / Self-Pay
$662

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $662 (6818%)
Insurance Median: $10 (103%)
Cash: $662 (6818% of Medicare)
Ins. Median: $10 (103% 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.

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
Aetna $1 - $16 10%
Ambetter / Centene $7 - $10 72%
Caresource $7 72%
Community Care Health $7 72%
Molina Healthcare $7 72%
Sierra Hpn $7 72%
Humana $9 - $10 93%
Alignment Health Plan $10 103%
Blue Cross Blue Shield $10 - $12 103%
Caremore $10 103%
Health Net $10 103%
Health Services Coalition $10 103%
Hometown Health Mcr $10 103%
Select Health $10 - $153 103%
Sierra $10 103%
Triwest $10 103%
United $10 - $144 103%
Imperial Nv $11 113%
Universal Healthcare $12 124%
Cigna $25 257%
Corvel $33 340%
Olympus Medsave Usa $34 - $496 350%
Prominence Healthfirst $199 2049%
Cmn Global $278 2863%
Evernorth $331 3409%
Hometown Health Providers $331 3409%
Nv Health & Welfare Trust $397 4089%
Multiplan $417 - $483 4295%
First Health $437 - $530 4501%
Medcare International $496 5108%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9300 West Sunset Rd, Las Vegas, NV 89148
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals