Blood test, average blood sugar (A1c)
Facility: Greeley County Health Services
Billing Code: 83036 (CPT)
- CPT Billing Code: 83036
- Insurance Median: $10
- Cash Discount Price: $52
- vs. Medicare Baseline: 1.03x 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.
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 |
|---|---|---|
| Medicaid / KanCare | $10 | 103% |
| Aetna | $10 | 103% |
Consumer Guidance & Cost Commentary
For this blood sugar test (CPT 83036) at Greeley County Health Services in Tribune, KS, the cash median price is $52.00, which is significantly lower than the facility's negotiated rate of $10.00 and the Medicare benchmark of $9.71. While the facility is a Critical Access Hospital owned by the local government, patients with high-deductible plans may find the cash price more affordable if their insurance negotiated rate exceeds $52.00. It is important to note that commercial insurance rates often include administrative overhead and contract markups that can inflate the baseline price by 20% to 40%, making the direct cash payment a potentially more cost-effective option for those who do not require insurance coverage for this specific service.
Before scheduling, patients should verify whether the facility offers "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% when paid in full upfront. Although the data shows a median negotiated rate of $10.00, this figure represents the contractual ceiling for in-network members and does not account for potential administrative fees or the specific deductible status of your plan. To avoid unexpected costs, consumers should request an itemized bill containing specific CPT codes before paying, as summary bills often obscure individual line items. Additionally, since the facility is in-network, the No Surprises Act generally protects patients from balance billing for emergency care or non-emergency services from out-of-network providers at this location, though it is always wise to confirm the status of any ancillary services included in the test.