CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: The Medical Center of Southeast Texas

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $13
  • Cash Discount Price: $272
  • vs. Medicare Baseline: 1.34x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at The Medical Center of Southeast Texas is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $272. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.34x the Medicare baseline. Located in 2555 Jimmy Johnson Blvd, Port Arthur, TX.
Cash / Self-Pay
$272

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $272 (2801%)
Insurance Median: $13 (134%)
Cash: $272 (2801% of Medicare)
Ins. Median: $13 (134% 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
UnitedHealthcare $6 - $12 62%
Harbor Hospice $8 82%
Medicaid / KanCare $8 - $10 82%
Superior Healthplan $8 - $10 82%
Texas Childrens Health Plan $8 - $9 82%
Beacon Health $9 93%
Community Health Choice $9 - $12 93%
Community Health Choice Uhrip $9 93%
Humana $9 - $25 93%
Medsolutions $9 93%
Molina Healthcare $9 - $13 93%
Amerigroup $10 - $22 103%
Blue Cross Blue Shield $10 - $112 103%
Caresact $10 103%
Cccn Pro Advantage $10 103%
Cigna $10 - $191 103%
Employer Direct Healthcare $10 - $12 103%
Healthspring $10 103%
Hospice $10 103%
League Medical Concepts $10 103%
Medicare (plans) $10 103%
Provider Partners Health Plan $10 103%
Rice Land Hospice $10 103%
Selectcare $10 103%
Texas Medical Management Partners $10 - $12 103%
Tihp (Texas Independence Health Plan) $10 103%
Triwest $10 103%
Wellcare Of Texas $10 103%
Tricare $11 113%
Wellpath $11 113%
Corporate Remedies $14 144%
Elap Services $19 196%
Texas Workers Compensation $19 196%
Self Pay Emergent $41 422%
Dept Of Assistive And Rehabilitative Services $136 1401%
Aetna $158 - $180 1627%
Iasis Employees $163 1679%
Magellan Behavioral Health $163 1679%
First Health $191 1967%
Galaxy Health Network $191 1967%
Private Healthcare Systems $191 1967%
Texas Municipal League $191 1967%
Healthsmart $204 2101%
Multiplan $218 2245%
Commercial Non-Contracted $272 2801%
Heart To Heart Hospice $272 2801%
Lifesynch $272 2801%
Mhnet $272 2801%
Self Pay - Mcd Pending 100 Percent $272 2801%
Single Case Agreement $272 2801%
United Behavioral Health $272 2801%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640
  • CMS Rating: ★★★☆☆
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals