CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Alliancehealth Madill

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $13
  • Cash Discount Price: $78
  • vs. Medicare Baseline: 1.34x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Alliancehealth Madill is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $78. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.34x the Medicare baseline. Located in 901 S 5Th Ave, Madill, OK.
Cash / Self-Pay
$78

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $78 (803%)
Insurance Median: $13 (134%)
Cash: $78 (803% of Medicare)
Ins. Median: $13 (134% 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
Blue Cross Blue Shield $1 - $93 10%
Preferred Community Choice Ppo $1 - $66 10%
Humana $2 - $90 21%
Medicare (plans) $2 - $90 21%
Node Champva $2 - $95 21%
Node Global Health Mcr Adv $2 - $90 21%
Node Indian Health Service Managed Care $2 - $92 21%
Node Va $2 - $212 21%
Tricare $2 - $95 21%
UnitedHealthcare $2 - $92 21%
Self Pay $3 - $153 31%
Coventry $5 - $219 51%
Globalhealth $6 - $272 62%
Healthcare Highways $6 - $274 62%
Multiplan $7 - $342 72%
Phcs $7 - $307 72%
Aetna $8 - $350 82%
Cigna $8 - $372 82%
Evolutions Healthcare Systems $8 - $372 82%
First Health $8 - $359 82%
Medicaid / KanCare $9 93%
Node Us Dept Of Labor $12 124%
Healthchoice $13 134%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 S 5Th Ave, Madill, OK 73446
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals