CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Medical City North Hills

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $15
  • Cash Discount Price: $694
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Medical City North Hills is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $694. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.54x the Medicare baseline. Located in 4401 Booth Calloway Road, North Richland Hills, TX.
Cash / Self-Pay
$694

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: $694 (7147%)
Insurance Median: $15 (154%)
Cash: $694 (7147% 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
Cook Childrens Health Plan $6 62%
Amerigroup $8 - $10 82%
Parkland Community Health Plan $8 82%
United $8 - $149 82%
Aetna $9 - $504 93%
Cigna $9 - $555 93%
Molina $9 - $11 93%
American Health Plan Of Texas, Inc. $10 103%
Blue Cross Blue Shield $10 - $308 103%
Care N Care $10 103%
Devoted Health $10 103%
Humana $10 - $108 103%
Integranet $10 103%
Mutual Of Omaha $10 103%
Procare Advantge $10 103%
Provider Partners Health Plan $10 103%
Superior Health Plan $10 - $49 103%
Texas Independent Health Plan $10 103%
Triwest Veterans $10 103%
Wellcare $10 103%
Wellmed $10 103%
Cenpatico $11 113%
Imperial Insurance Company $11 113%
Triwest Health Alliance $11 113%
Universal Healthcare Group $12 124%
Verda Health Plan $13 134%
Bravo Health $15 154%
Superior $17 - $22 175%
Usa Managed Care $18 - $555 185%
Corvel Corporation $19 196%
Molina Healthcare $25 257%
Oscar $25 257%
Unicare $146 - $694 1504%
Healthcare Highways $170 - $234 1751%
Evry Health $179 1843%
City Of Mckinney $312 3213%
Fidelis Securecare $312 3213%
National Choicecare $347 3574%
Pc Texas Partners $382 3934%
Physicians Coop Of Tx $382 3934%
Rockport Health Group $382 3934%
Averde Health, Inc $402 4140%
Magellan Behavior Health $416 4284%
Coastal Comp Health Networks $486 5005%
Mega Life $486 5005%
Multiplan Phcs $486 5005%
Healthsmart Preferred Care $520 5355%
Lewisville Isd/Dls Consulting $520 5355%
Usc Health Services $555 5716%
Galaxy Health Network $590 6076%
Independent Medical Systems $694 7147%
National Healthcare Solutions $694 7147%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4401 Booth Calloway Road, North Richland Hills, TX 76180
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals