CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Christus Santa Rosa Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $16
  • Cash Discount Price: $32
  • vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Christus Santa Rosa Medical Center is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $32. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.65x the Medicare baseline. Located in 11212 State Hwy 151, San Antonio, TX.
Cash / Self-Pay
$32

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: $32 (330%)
Insurance Median: $16 (165%)
Cash: $32 (330% 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
Texas Healthspring $5 51%
UnitedHealthcare $9 - $12 93%
Aetna $10 - $19 103%
Allwell $10 103%
Amerigroup $10 - $27 103%
Blue Cross Blue Shield $10 - $36 103%
Christus Health $10 - $14 103%
Community First $10 - $27 103%
Coventry $10 103%
Devoted Health Plan $10 103%
Driscoll Children'S Health Plan $10 103%
El Paso First $10 103%
First Care $10 103%
Humana $10 - $26 103%
Molina $10 103%
Provider Partners Health Plan $10 103%
Shared Health Insurance Company $10 103%
Superior $10 103%
Texas Childrens Health Plan $10 103%
Texas Independence Health Plan $10 103%
Triwest $10 103%
Us Imaging Network $10 103%
Wellcare $10 103%
Imperial Health Plan $11 113%
Medicare (plans) $11 113%
Procare Advantage $11 113%
Employer Direct $12 124%
Gilsbar Inc. $13 134%
Naphcare Inc. $19 196%
Community First Health Plan $37 - $100 381%
Healthcare Highways $37 - $103 381%
Cigna $39 - $49 402%
Christian Brothers Services $46 - $125 474%
First Health $54 - $148 556%
Healthsmart $54 - $182 556%
Multiplan $54 - $148 556%
Phcs $54 - $148 556%
Five Point Credit Union $58 - $160 597%
Medicus Internatiaonal $62 - $171 639%
Beech Street $66 - $182 680%
Health Management Network $66 - $182 680%
Provider Select $66 - $182 680%
National Choicecare $79 - $217 814%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11212 State Hwy 151, San Antonio, TX 78251
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals