CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Hill Country Memorial Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $10
  • Cash Discount Price: $481
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Hill Country Memorial Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $481. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.03x the Medicare baseline. Located in 1020 South State Highway 16, Fredericksburg, TX.
Cash / Self-Pay
$481

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $481 (4954%)
Insurance Median: $10 (103%)
Cash: $481 (4954% of Medicare)
Ins. Median: $10 (103% 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 - $130 82%
United $8 - $217 82%
Aetna $9 - $10 93%
Molina Healthcare $9 - $15 93%
Wellmed $9 93%
Blue Cross Blue Shield $10 - $142 103%
Gonzaba Medical Group $10 103%
Ilumed $10 103%
Superior Health $10 - $24 103%
Triwest $10 103%
Wellcare $10 103%
Triwest Health Alliance $11 113%
Cigna $16 - $21 165%
Superior $16 165%
Healthcare Highways $23 237%
Healthsmart Preferred Care $265 2729%
Multiplan $361 - $409 3718%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1020 South State Highway 16, Fredericksburg, TX 78624
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals