CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Bella Vista Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $14
  • Cash Discount Price: $25
  • vs. Medicare Baseline: 1.44x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Bella Vista Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.44x the Medicare baseline. Located in Carr 349 Km 2 7 Cerro Las Mesas, Mayaguez, PR.
Cash / Self-Pay
$25

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $25 (257%)
Insurance Median: $14 (144%)
Cash: $25 (257% of Medicare)
Ins. Median: $14 (144% 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
First Medical Vital $9 93%
Champva $10 103%
Medicare (plans) $10 103%
Preferred Medical Choice(Pmc) $10 103%
Tricare $10 103%
Triple S Advantage $10 103%
UnitedHealthcare $10 103%
Plan Salud Menonita Vital $13 - $15 134%
Mcs $14 144%
Triple S Vital $14 144%
International Medical Card $15 154%
Plan Salud Menonita $15 154%
Servicios De Salud Bella Vista $15 154%
Asociacion Maestros (Prossam) $17 175%
Triple S $17 175%
Fondo Del Seguro Del Estado $20 206%
Mapfre Life Insurance Life Insurance $25 257%
Acaa $28 288%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Carr 349 Km 2 7 Cerro Las Mesas, Mayaguez, PR 00681
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals