CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Oklahoma Heart Hospital South, LLC

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $25
Cash Discount Price: $112
vs. Medicare Baseline: 2.57x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Oklahoma Heart Hospital South, LLC is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $112. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 2.57x the Medicare baseline. Located in 5200 East I-240 Service Road, Oklahoma City, OK.

Cash / Self-Pay

$112

Average discount available for prompt cash payment at this facility.

Insurance Median

$25

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: $112 (1153%)

Insurance Median: $25 (257%)

Cash: $112 (1153% of Medicare)

Ins. Median: $25 (257% 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 257% of the Medicare baseline (a markup of 157%). 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
Aetna	$9 - $69	93%
Humana	$9 - $69	93%
Blue Cross Blue Shield	$10 - $38	103%
Cigna	$10 - $70	103%
Geha	$10	103%
Medicare (plans)	$10	103%
UnitedHealthcare	$10	103%
Va Ccn	$10	103%
Ambetter / Centene	$14	144%
Community Care	$19 - $70	196%
The Kempton Group	$24	247%
Healthcare Highways	$25 - $60	257%
Healthscope	$46	474%
Oscar Insurance Company	$46	474%
Webtpa Chickasaw Nation Hch	$47	484%
Webtpa Hobby Lobby Hch	$53	546%
Coventry	$59	608%
Global Health	$63	649%
Sana Benefits	$65	669%
Ufcw	$65	669%
First Health Network	$69	711%
Manhattan Life	$69	711%
Phcs	$70	721%
Preferred Community Choice	$76	783%
Multiplan	$90	927%

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 $112.
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 Oklahoma Heart Hospital South, LLC 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.