CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: HCA Houston Healthcare Southeast

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $14
  • Cash Discount Price: $1,321
  • vs. Medicare Baseline: 1.44x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at HCA Houston Healthcare Southeast is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,321. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.44x the Medicare baseline. Located in 4000 Spencer Hwy, Pasadena, TX.
Cash / Self-Pay
$1,321

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: $1,321 (13605%)
Insurance Median: $14 (144%)
Cash: $1,321 (13605% 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
Amerigroup $8 - $10 82%
Community Health Choice Mcd $8 82%
Texas Childrens Health Plans $8 - $233 82%
Texas Health Network $8 82%
United $8 - $595 82%
Aetna $9 - $64 93%
Molina Healthcare $9 - $21 93%
American Health Plan $10 103%
Blue Cross Blue Shield $10 - $462 103%
Chc Harris Health $10 103%
Cigna $10 - $1,057 103%
Devoted Health $10 103%
Humana $10 - $130 103%
Integranet Amerigroup Ipa $10 103%
Kelsey Seybold $10 103%
Oscar $10 - $28 103%
Procare Advantage $10 103%
Provider Partners Health Plan Of Texas $10 103%
Renaissance Ipa Radiology $10 103%
Shared Health $10 103%
Superior Health Plan $10 - $79 103%
Triwest Healthcare Alliance $10 103%
Van Lang Ipa $10 103%
Wellcare $10 103%
Wellmed $10 103%
Christus (Usfhp) $11 113%
Kindred Hospital $11 113%
Molina $11 113%
Universal Healthcare Group $12 124%
Verda Health Plan $13 134%
Community Health Choice $14 144%
Superior $14 - $15 144%
Corvel Corporation $19 196%
Omni Healthcare $20 206%
Healthcare Highways $29 299%
Texas Workforce Commission $317 3265%
Evry Health $361 3718%
Imagine Health $462 4758%
Healthsmart Preferred Care $568 - $1,123 5850%
Averde Health $595 6128%
Fidelis Securecare Of Tx $595 6128%
Multiplan $661 - $1,189 6807%
Coventry National First Health $704 7250%
Physicians Cooperative Of Texas $727 7487%
Rockport Workers Comp $727 7487%
Beech Street $793 - $1,057 8167%
Independent Medical System $793 8167%
National Healthcare Solutions $793 8167%
Prime Health Services $793 8167%
Southwest Medical $793 8167%
Coastal Comp $859 8847%
Fiesta Mart, Inc $991 10206%
Physicians, Inc $1,123 11565%
Affiliated Ppo $1,189 12245%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4000 Spencer Hwy, Pasadena, TX 77504
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals