CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: HCA Houston Healthcare Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $11
  • Cash Discount Price: $566
  • vs. Medicare Baseline: 1.13x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at HCA Houston Healthcare Medical Center is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $566. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.13x the Medicare baseline. Located in 1313 Hermann Dr, Houston, TX.
Cash / Self-Pay
$566

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $566 (5829%)
Insurance Median: $11 (113%)
Cash: $566 (5829% of Medicare)
Ins. Median: $11 (113% 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
Superior Health Plan $2 - $36 21%
United $6 - $269 62%
Community Health Choice Mcd $8 82%
Aetna $9 - $64 93%
Molina Healthcare $9 - $21 93%
American Health Plan $10 103%
Blue Cross Blue Shield $10 - $209 103%
Cigna $10 - $52 103%
Devoted Health $10 103%
Evry Health $10 - $163 103%
Humana $10 - $130 103%
Integranet Amerigroup Ipa $10 103%
Oscar $10 - $28 103%
Procare Advantage $10 103%
Provider Partners Health Plan Of Texas $10 103%
Shared Health $10 103%
Triwest Healthcare Alliance $10 103%
Van Lang Ipa $10 103%
Wellcare $10 103%
Wellmed $10 103%
Christus (Usfhp) $11 113%
Molina $11 113%
Triwest Health Alliance $11 113%
Verda Health Plan $13 134%
Community Health Choice $14 144%
Superior $14 - $15 144%
Coventry National First Health $20 - $318 206%
Healthcare Highways $29 299%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1313 Hermann Dr, Houston, TX 77004
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals