CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Medical City Plano

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $15
  • Cash Discount Price: $828
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Medical City Plano is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $828. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.54x the Medicare baseline. Located in 3901 W 15Th St, Plano, TX.
Cash / Self-Pay
$828

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $828 (8527%)
Insurance Median: $15 (154%)
Cash: $828 (8527% of Medicare)
Ins. Median: $15 (154% 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
Amerigroup $8 - $10 82%
United $8 - $144 82%
Aetna $9 - $501 93%
Cigna $9 - $116 93%
Molina $9 - $11 93%
Parkland Community Health Plan $9 93%
American Health Plan Of Texas, Inc. $10 103%
Blue Cross Blue Shield $10 - $368 103%
Care N Care $10 103%
Devoted Health $10 103%
Humana $10 - $108 103%
Integranet $10 103%
Mutual Of Omaha $10 103%
Procare Advantge $10 103%
Provider Partners Health Plan $10 103%
Superior Health Plan $10 - $58 103%
Texas Independent Health Plan $10 103%
Triwest Veterans $10 103%
Wellcare $10 103%
Wellmed $10 103%
Imperial Insurance Company $11 113%
Triwest Health Alliance $11 113%
Universal Healthcare Group $12 124%
Verda Health Plan $13 134%
Bravo Health $15 154%
Superior $17 - $22 175%
Usa Managed Care $18 - $663 185%
Corvel Corporation $19 196%
Molina Healthcare $25 257%
Oscar $25 257%
Healthcare Highways $203 - $280 2091%
Evry Health $214 2204%
Lifecare Hospitals $249 2564%
Prominence Health Plan $331 3409%
City Of Mckinney $373 3841%
Fidelis Securecare $373 3841%
National Choicecare $414 4264%
Pc Texas Partners $456 4696%
Physicians Coop Of Tx $456 4696%
Rockport Health Group $456 4696%
Averde Health, Inc $480 4943%
Texas Healthcare Foundation Wc $538 5541%
Coastal Comp Health Networks $580 5973%
Mega Life $580 5973%
Multiplan Phcs $580 5973%
Healthsmart Preferred Care $621 6395%
Lewisville Isd/Dls Consulting $621 6395%
Usc Health Services $663 6828%
Galaxy Health Network $704 7250%
Independent Medical Systems $828 8527%
National Healthcare Solutions $828 8527%
Unicare $828 8527%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3901 W 15Th St, Plano, TX 75075
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals