CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: CHI St Lukes Lakeside Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $18
  • Cash Discount Price: $75
  • vs. Medicare Baseline: 1.85x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at CHI St Lukes Lakeside Hospital is $18. 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 1.85x the Medicare baseline. Located in 17400 St Lukes Way, The Woodlands, TX.
Cash / Self-Pay
$75

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: $75 (772%)
Insurance Median: $18 (185%)
Cash: $75 (772% 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
Renaissance $7 72%
Tchp $8 - $11 82%
United $8 - $101 82%
UnitedHealthcare $8 - $177 82%
Wellpoint $8 - $15 82%
Blue Cross Blue Shield $9 - $50 93%
Chc $9 - $118 93%
Aetna $10 - $146 103%
Amerivantage $10 103%
Cigna $10 - $150 103%
Devoted $10 103%
Humana $10 - $139 103%
Kelsey $10 103%
Scanhealth $10 103%
Selectcare $10 103%
Kindred $11 113%
Kelseycare $13 134%
Ambetter / Centene $15 154%
Community Health Choice $15 154%
Harris Health $15 154%
Bright Health $16 165%
Nx Health $32 330%
Tchpchip $75 - $94 772%
Texastruechoice $118 1215%
Coventry $139 1432%
First Health $139 1432%
Healthsmart $150 1545%
Interlink $150 1545%
Multiplan $160 1648%
USA Health Network $182 1874%
Mhealth Network $214 2204%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 17400 St Lukes Way, The Woodlands, TX 77384
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals