CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Northwest Hills Surgical Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $10
  • Cash Discount Price: $9
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Northwest Hills Surgical Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.03x the Medicare baseline. Located in 6818 Austin Ctr Blvd Suite 100, Austin, TX.
Cash / Self-Pay
$9

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: $9 (93%)
Insurance Median: $10 (103%)
Cash: $9 (93% 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
Ambetter / Centene $8 - $11 82%
Blue Cross Blue Shield $8 - $46 82%
Dell Chip/Chip Perinate $8 - $10 82%
Dell Star $8 82%
UnitedHealthcare $8 82%
Wellpoint Chip/Chip Perinate $8 - $10 82%
Wellpoint Star $8 - $10 82%
Wellpoint Star Kids $8 82%
Wellpoint Star Plus $8 - $10 82%
Superior Star $10 103%
Superior Star Foster $10 103%
Superior Star Kids $10 103%
Superior Star Plus $10 103%
Superior Chip/Chip Perinate $11 113%
Champva $12 - $13 124%
Humana $16 165%
Cigna $23 237%
Seton Performance Plus $24 247%
Aetna $26 - $72 268%
Covenant Health $53 546%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6818 Austin Ctr Blvd Suite 100, Austin, TX 78731
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals