CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: UT of Texas Southwestern University Hospital - William P. Clements Jr.

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $17
  • Cash Discount Price: $57
  • vs. Medicare Baseline: 1.75x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at UT of Texas Southwestern University Hospital - William P. Clements Jr. is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $57. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.75x the Medicare baseline. Located in 6201 Harry Hines Blvd, Dallas, TX.
Cash / Self-Pay
$57

Average discount available for prompt cash payment at this facility.

Insurance Median
$17

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: $57 (587%)
Insurance Median: $17 (175%)
Cash: $57 (587% of Medicare)
Ins. Median: $17 (175% 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 $2 - $88 21%
United Options Nexus $6 - $10 62%
UnitedHealthcare $6 - $92 62%
Molina $8 - $10 82%
Parkland $8 82%
Superior $8 - $10 82%
Wellpoint $8 - $44 82%
Aetna $9 - $53 93%
Ambetter / Centene $10 103%
Cigna $10 - $94 103%
Humana $10 103%
Procare $10 103%
Rockwall County $13 - $89 134%
Quiktrip $14 - $80 144%
Galaxy Health Network $16 - $112 165%
Multiplan $16 - $110 165%
Healthsmart $18 - $105 185%
Healthfirst $19 - $71 196%
Maestro Health/Fort Worth Firefighters $22 - $68 227%
Coventry $23 - $89 237%
Phcs $34 - $103 350%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6201 Harry Hines Blvd, Dallas, TX 75390
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals