CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Ascension Seton Edgar B Davis

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $11
  • Cash Discount Price: $75
  • vs. Medicare Baseline: 1.13x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Ascension Seton Edgar B Davis is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $75. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.13x the Medicare baseline. Located in 130 Hays Street, Luling, TX.
Cash / Self-Pay
$75

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: $75 (772%)
Insurance Median: $11 (113%)
Cash: $75 (772% 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
Ambetter / Centene $8 - $11 82%
Blue Cross Blue Shield $8 - $46 82%
Dell Chip/Chip Perinate $8 - $10 82%
Dell Star $8 - $11 82%
UnitedHealthcare $8 - $11 82%
Wellpoint Chip/Chip Perinate $8 - $10 82%
Wellpoint Star $8 - $10 82%
Wellpoint Star Kids $8 82%
Wellpoint Star Plus $8 - $10 82%
Champva $12 - $13 124%
Humana $16 165%
Cigna $23 237%
Seton Performance Plus $24 247%
Aetna $26 - $72 268%
Superior Star $46 - $121 474%
Superior Star Foster $46 - $121 474%
Superior Star Kids $46 - $121 474%
Superior Star Plus $46 - $121 474%
Superior Chip/Chip Perinate $52 - $136 536%
Covenant Health $53 546%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 130 Hays Street, Luling, TX 78648
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals