CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: McAlester Regional Health Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $30
  • Cash Discount Price: $14
  • vs. Medicare Baseline: 3.09x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at McAlester Regional Health Center is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 3.09x the Medicare baseline. Located in One Clark Bass Boulevard, McAlester, OK.
Cash / Self-Pay
$14

Average discount available for prompt cash payment at this facility.

Insurance Median
$30

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: $14 (144%)
Insurance Median: $30 (309%)
Cash: $14 (144% of Medicare)
Ins. Median: $30 (309% 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 309% of the Medicare baseline (a markup of 209%). 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
Aetna $10 103%
Blue Cross Blue Shield $10 103%
Choctaw Nation $10 103%
Global Health $10 - $18 103%
Coventry $28 - $31 288%
Okla Health Network $30 309%
Osma Health $31 319%
Preferred Choice Community $31 319%
Phcs $32 330%
Beech Street $33 340%
Cigna $33 340%
Geha $33 340%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Clark Bass Boulevard, McAlester, OK 74501
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals