CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Methodist Hospital Atascosa

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $16
  • Cash Discount Price: $494
  • vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Methodist Hospital Atascosa is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $494. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.65x the Medicare baseline. Located in 1905 Hwy 97 East, Jourdanton, TX.
Cash / Self-Pay
$494

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $494 (5088%)
Insurance Median: $16 (165%)
Cash: $494 (5088% of Medicare)
Ins. Median: $16 (165% 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
Community First Health Plans $8 - $137 82%
Molina $8 82%
United $8 - $228 82%
Aetna $9 - $10 93%
Wellmed $9 93%
American Health Plan Of Texas $10 103%
Blue Cross Blue Shield $10 - $150 103%
Clover Insurance $10 103%
Devoted Health $10 103%
Gonzaba Medical Group $10 103%
Humana $10 103%
Ilumed $10 103%
Integranet $10 103%
Superior Health $10 - $25 103%
Texas Independent Health Plan $10 103%
Triwest $10 103%
Triwest Va Pccc $10 103%
Wellcare $10 103%
Triwest Health Alliance $11 113%
Focus Healthcare Management $14 144%
Cigna $16 - $21 165%
Focus Health Solutions $23 237%
Healthcare Highways $23 237%
Oscar $26 268%
Imperial Insurance $91 - $96 937%
Valenz $169 - $177 1740%
Evry Health $177 - $187 1823%
Healthsmart Preferred Care $265 - $279 2729%
Multiplan $361 - $431 3718%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1905 Hwy 97 East, Jourdanton, TX 78026
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals