CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Childress Regional Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $27
  • Cash Discount Price: $75
  • vs. Medicare Baseline: 2.78x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Childress Regional Medical Center is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $75. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 2.78x the Medicare baseline. Located in Hwy 83 North, Childress, TX.
Cash / Self-Pay
$75

Average discount available for prompt cash payment at this facility.

Insurance Median
$27

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: $75 (772%)
Insurance Median: $27 (278%)
Cash: $75 (772% of Medicare)
Ins. Median: $27 (278% 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 278% of the Medicare baseline (a markup of 178%). 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 82%
Superior Healthplan Inc. $8 82%
Firstcare $9 - $14 93%
Aetna $10 - $60 103%
Humana $10 103%
UnitedHealthcare $16 165%
Blue Cross Blue Shield $27 - $51 278%
Choicecare Network $49 505%
Cigna $55 566%
Insurance Services Of Lubbock $56 577%
Bsa Provider Network $64 659%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Hwy 83 North, Childress, TX 79201
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals