CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Methodist McKinney Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $10
Cash Discount Price: $65
vs. Medicare Baseline: 1.03x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Methodist McKinney Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $65. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.03x the Medicare baseline. Located in 8000 W Eldorado Pkwy Bldg C Suite C, McKinney, TX.

Cash / Self-Pay

$65

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: $65 (669%)

Insurance Median: $10 (103%)

Cash: $65 (669% 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.

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
Blue Cross Blue Shield	$6 - $10	62%
Aetna	$10 - $35	103%
American Health Advantage Of Texas [7099]	$10	103%
Cigna	$10	103%
Globalhealth [1003]	$10	103%
Humana	$10	103%
Medicare (plans)	$10	103%
Procare Advantage [7018]	$10	103%
Provider Partners Health Plan [7025]	$10	103%
Southwestern Health Resources Swhr [7015]	$10	103%
UnitedHealthcare	$10	103%
Ust Health Proof [1005]	$10	103%
Wellcare [7016]	$10	103%
Alternative Service Concepts [8005]	$12	124%
Oscar Insurance Company [2057]	$13	134%
Bright Healthcare [2222]	$14	144%
Molina [3017]	$14	144%
Wellpoint Marketplace Exchange [3071]	$15	154%
90 Degree Benefit [3057]	$16	165%
Allied National [2031]	$16	165%
Entrust/90 Degree [2058]	$16	165%
Ambetter / Centene	$17	175%
Friday Health Plan [2061]	$17	175%
Imperial Insurance Companies [3073]	$17	175%
Evry Health [1013]	$19	196%
Sana Benefits [3069]	$19	196%
Velocity [3070]	$19	196%
Web Tpa [3049]	$32 - $35	330%

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 $65.
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 Methodist McKinney 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.