CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Texoma Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $107
  • Cash Discount Price: $228
  • vs. Medicare Baseline: 11.02x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Texoma Medical Center is $107. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $228. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 11.02x the Medicare baseline. Located in 5016 S Us Highway 75, Denison, TX.
Cash / Self-Pay
$228

Average discount available for prompt cash payment at this facility.

Insurance Median
$107

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: $228 (2348%)
Insurance Median: $107 (1102%)
Cash: $228 (2348% of Medicare)
Ins. Median: $107 (1102% 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 1102% of the Medicare baseline (a markup of 1002%). 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
Molina $8 - $241 82%
Superior $9 - $18 93%
Tchp $9 93%
Amerigroup $13 134%
United_Healthcare $13 134%
Aetna $75 - $95 772%
Cigna $99 - $135 1020%
Humana $157 - $198 1617%
Multiplan $191 - $241 1967%
Healthsmart $198 - $255 2039%
Healthchoice $255 2626%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5016 S Us Highway 75, Denison, TX 75020
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals