CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Hospital Pavia Hato Rey, Inc

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $15
  • Cash Discount Price: $25
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Hospital Pavia Hato Rey, Inc is $15. 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 1.54x the Medicare baseline. Located in Ave Ponce De Leon 435, Hato Rey, PR.
Cash / Self-Pay
$25

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $15 (154%)
Cash: $25 (257% of Medicare)
Ins. Median: $15 (154% 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
Mso $8 - $10 82%
First Medical $9 - $15 93%
Medicare (plans) $10 103%
Va $10 103%
Tricare $11 113%
Triple S $11 - $15 113%
Fondo Del Seguro Estado $12 124%
Plan De Salud Menonita $13 - $15 134%
Ch $14 144%
Aarp $15 154%
Mcs $15 154%
Prossam $15 154%
Bl $16 165%
Humana $16 - $20 165%
Auxilio Salud Plus $17 175%
Bella Vista $24 247%
Mapfre $25 257%
Acaa $28 288%
Cigna $28 288%
Mc $30 309%
Privado $30 309%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Ave Ponce De Leon 435, Hato Rey, PR 00919
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals