CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Rio Grande Regional Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $13
  • Cash Discount Price: $1,281
  • vs. Medicare Baseline: 1.34x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Rio Grande Regional Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,281. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.34x the Medicare baseline. Located in 101 E Ridge Rd, McAllen, TX.
Cash / Self-Pay
$1,281

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: $1,281 (13193%)
Insurance Median: $13 (134%)
Cash: $1,281 (13193% 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
Driscoll Children'S Health Plan $8 82%
Texas Health Network $8 82%
United $8 - $576 82%
Aetna $9 - $10 93%
Molina Healthcare $9 - $24 93%
Allegian Health $10 - $512 103%
American Health Plan $10 103%
Blue Cross Blue Shield $10 - $576 103%
Cigna $10 - $35 103%
Humana $10 - $34 103%
Independent Medical System $10 103%
Physicians Health Choice $10 103%
Prominence Health $10 103%
Provider Partners Health Plan Of Texas $10 103%
Shared Health $10 103%
Superior Health Plan $10 - $90 103%
Triwest Healthcare Alliance $10 103%
Wellmed $10 103%
Molina $11 113%
Triwest Health Alliance $11 113%
Universal Health Care $12 124%
Superior $15 154%
Corvel Corporation $19 196%
Focus Healthcare $19 196%
Omni Healthcare $20 206%
Oscar $23 237%
Healthcare Highways $29 299%
Texas Workforce Commission $307 3162%
Averde Health $423 4356%
Healthsmart Preferred Care $551 - $1,088 5675%
First Health $736 7580%
National Healthcare Solutions $768 7909%
Southwest Medical $768 7909%
Coastal Comp $832 8568%
Usa Managed Care $832 - $1,024 8568%
Ppo Next/ Medical Control $960 9887%
Beech Street $1,024 10546%
Multiplan $1,024 10546%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 E Ridge Rd, McAllen, TX 78503
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals