CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: El Paso Children's Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $18
  • Cash Discount Price: $9
  • vs. Medicare Baseline: 1.85x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at El Paso Children's Hospital is $18. 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 1.85x the Medicare baseline. Located in 4845 Alameda Avenue, El Paso, TX.
Cash / Self-Pay
$9

Average discount available for prompt cash payment at this facility.

Insurance Median
$18

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: $18 (185%)
Cash: $9 (93% of Medicare)
Ins. Median: $18 (185% 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
Uh Military Va $9 93%
Amerigroup Tx $10 103%
El Paso First Health Plan $10 103%
Health Net Fed Svcs $10 103%
Point Comfort Underwriters $10 103%
Superior $10 103%
Blue Cross Blue Shield $11 - $34 113%
El Paso Health Plans $11 113%
Molina Tx $11 113%
Western Sky $24 247%
Molina Nm $30 309%
Aetna $32 - $36 330%
UnitedHealthcare $32 330%
Cigna $35 360%
Coventry Health Care $36 371%
Fortified Provider Network $36 371%
Multiplan $36 371%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4845 Alameda Avenue, El Paso, TX 79905
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens