CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Baylor Scott & White Medical Center Hillcrest

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $48
Cash Discount Price: $80
vs. Medicare Baseline: 4.94x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Baylor Scott & White Medical Center Hillcrest is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $80. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 4.94x the Medicare baseline. Located in 100 Hillcrest Medical Blvd, Waco, TX.

Cash / Self-Pay

$80

Average discount available for prompt cash payment at this facility.

Insurance Median

$48

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: $80 (824%)

Insurance Median: $48 (494%)

Cash: $80 (824% of Medicare)

Ins. Median: $48 (494% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 494% of the Medicare baseline (a markup of 394%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Baylor Scott & White Health Plan	$9 - $57	93%
American Health Plan	$10	103%
Blue Cross Blue Shield	$10 - $57	103%
Corvel	$10	103%
Humana	$10 - $93	103%
Prime Health Services	$10	103%
Procare Advantage	$10	103%
Triwest	$10	103%
UnitedHealthcare	$11 - $14	113%
Injury Management Organization	$12	124%
Sedgwick	$15	154%
Superior Health Plan	$16	165%
Texas Workforce Commission	$44	453%
Cigna	$68 - $80	700%
Aetna	$73	752%
Midcoast	$73	752%
Quiktrip	$73	752%
University Of Mary Hardin-Baylor	$77	793%
Independent Medical System	$80	824%
Imagine Health	$83	855%
Curative	$87	896%
First Health	$93	958%
Healthsmart	$93 - $100	958%
Private Health Care System	$100	1030%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $80.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 83036.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Baylor Scott & White Medical Center Hillcrest is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 83036.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.