CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Mc Camey Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $111
Cash Discount Price: $126
vs. Medicare Baseline: 11.43x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Mc Camey Hospital is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $126. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 11.43x the Medicare baseline. Located in 2500 Hwy 305 South, McCamey, TX.

Cash / Self-Pay

$126

Average discount available for prompt cash payment at this facility.

Insurance Median

$111

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: $126 (1298%)

Insurance Median: $111 (1143%)

Cash: $126 (1298% of Medicare)

Ins. Median: $111 (1143% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1143% of the Medicare baseline (a markup of 1043%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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 Healthplan	$8	82%
Wellpoint	$8 - $138	82%
UnitedHealthcare	$10 - $111	103%
Capstar	$15	154%
Firstcare Star	$62 - $77	639%
Blue Cross Blue Shield	$102 - $162	1050%
Aetna	$111 - $143	1143%
Humana	$111 - $134	1143%
Multiplan	$111	1143%
Cigna	$134	1380%
Three Rivers Provider	$143	1473%
Galaxy	$151	1555%
Healthsmart	$151	1555%
Swhp Mco	$151	1555%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $126.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 83036.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mc Camey Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 83036.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.