CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Las Palmas Medical Center A Campus of Lpds Healthc

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $64
  • Cash Discount Price: $149
  • vs. Medicare Baseline: 6.59x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Las Palmas Medical Center A Campus of Lpds Healthc is $64. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $149. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 6.59x the Medicare baseline. Located in 1801 North Oregon Street, El Paso, TX.
Cash / Self-Pay
$149

Average discount available for prompt cash payment at this facility.

Insurance Median
$64

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: $149 (1535%)
Insurance Median: $64 (659%)
Cash: $149 (1535% of Medicare)
Ins. Median: $64 (659% 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 659% of the Medicare baseline (a markup of 559%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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%
Centennial Care $8 82%
El Paso First Health Plans $8 82%
St David’S Hospice $8 - $10 82%
United $8 - $275 82%
Western Sky Community Care $8 - $10 82%
Aetna $9 - $10 93%
Molina Healthcare $9 - $20 93%
Superior Health Plan $9 - $37 93%
Alignment Health Plan $10 103%
American Health Plan Of Texas $10 103%
Arcadian Health Plan $10 103%
Blue Cross Blue Shield $10 - $74 103%
Cigna $10 - $66 103%
Clover Insurance Company $10 103%
Devoted Health $10 103%
Humana $10 103%
Provider Partners Health Plan $10 103%
Pyramid Life $10 103%
Shared Health $10 103%
Triwest Healthcare Alliance $10 103%
UnitedHealthcare $10 - $24 103%
Wellcare Of Tx $10 103%
Wellmed $10 103%
Imperial Insurance $11 113%
Triwest Health Alliance $11 113%
Molina Healthcare Mcr $12 124%
Universal Health Pffs Nc $12 124%
Bravo Health $13 134%
Corvel Corporation $19 196%
Bienvivir Senior Health $24 - $104 247%
Healthcare Highways $27 - $118 278%
Oscar $33 340%
First Health $64 - $275 659%
Healthsmart Preferred Care $64 - $337 659%
Emerging Therapy Solutions $66 - $422 680%
Sheriff'S Dept El Paso County Detention $72 - $306 742%
Ysleta Del Sur Pueblo $72 - $306 742%
Southwest Medical Provider Network $79 - $337 814%
Advantage Care Network $86 - $367 886%
El Paso First Health Plan $86 - $367 886%
Prime Health $86 - $367 886%
Texas Workforce Commission $90 - $386 927%
Multiplan $93 - $398 958%
Phcs $93 - $398 958%
Integrated Medical Systems $100 - $428 1030%
Samsa $100 - $428 1030%
Danmark - International Contract $107 - $459 1102%
Galaxy Health Network $107 - $459 1102%
Medcorp Southwest $114 - $490 1174%
Usa Managed Care $117 - $581 1205%
Affiliated Healthcare $122 - $520 1256%
National Provider Network $129 - $551 1329%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1801 North Oregon Street, El Paso, TX 79902
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals