Blood test, average blood sugar (A1c)
Facility: Lindsborg Community Hospital
Billing Code: 83036 (CPT)
- CPT Billing Code: 83036
- Insurance Median: $113
- Cash Discount Price: $86
- vs. Medicare Baseline: 11.64x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 1164% of the Medicare baseline (a markup of 1064%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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 | $36 | 371% |
| Coventry Mcr Adv | $58 | 597% |
| Tricare | $58 | 597% |
| Cigna | $105 | 1081% |
| Coventry Comm-All Other Plans | $111 | 1143% |
| UnitedHealthcare | $111 | 1143% |
| Phcs Preferred-All Plans | $115 | 1184% |
| Multiplan-All Plans | $115 | 1184% |
| Wppa-All Plans | $117 | 1205% |
| Health Partners -All Plans | $117 | 1205% |
| Century Health-All Plans | $117 | 1205% |
| Coventry Wc | $117 | 1205% |
Consumer Guidance & Cost Commentary
For the blood sugar (A1c) test at Lindsborg Community Hospital in Lindsborg, KS, the cash price of $86.00 is lower than the facility's negotiated rates, which range from $36.00 to $117.00 depending on the insurance plan. While the lowest negotiated rate of $36.00 is significantly below the cash price, many commercial payers have rates exceeding the cash amount, such as Cigna at $105.00 and WPPA at $117.00. This pricing structure suggests that for patients with high-deductible plans who have not yet met their out-of-pocket maximum, paying the cash price of $86.00 upfront could result in lower total costs compared to using insurance, which would require the patient to cover the full negotiated rate before the deductible is met.
The facility's cash price of $86.00 is also notably lower than the Medicare benchmark of $9.71, indicating a markup relative to the federal government's fixed reimbursement rate. However, the facility's negotiated rate of $113.00 is higher than the Medicare amount, reflecting the administrative costs and contract dynamics inherent in commercial insurance billing. Patients should be aware that while the hospital is a Critical Access Hospital with a voluntary non-profit ownership structure, they should verify their specific plan's allowed amount before scheduling. It is recommended to contact the billing department directly to confirm if "self-pay" or "prompt-pay" discounts are available, as these can further reduce the final cost for those choosing to pay out-of-network or pay in full at the time of service.