CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Hospital Pavia Arecibo

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $13
  • Cash Discount Price: $15
  • vs. Medicare Baseline: 1.34x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Hospital Pavia Arecibo is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.34x the Medicare baseline. Located in Carretera 129 Km.1 Avenida San Luis, Arecibo, PR.
Cash / Self-Pay
$15

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: $15 (154%)
Insurance Median: $13 (134%)
Cash: $15 (154% 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
First Medical $9 - $12 93%
Mso $9 - $11 93%
Plan Auxilio Mutuo $9 93%
Plan De Salud Menonita $9 - $17 93%
Triple S $9 - $15 93%
Ch $12 124%
Humana $12 - $18 124%
Mcs $12 - $16 124%
Tricare $12 124%
Va $12 124%
Comerciales $13 134%
Medicare (plans) $13 134%
Auxilio Platino $14 144%
Hospicio $14 144%
Mc $14 144%
Prossam $14 144%
Aarp $15 154%
Acaa $15 154%
Bl $15 154%
Mapfre $15 154%
Privado $17 175%
Fondo Del Seguro Estado $20 206%
Cigna $23 237%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Carretera 129 Km.1 Avenida San Luis, Arecibo, PR 00612
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals