Blood test, average blood sugar (A1c)
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 83036 (CPT)
- CPT Billing Code: 83036
- Insurance Median: $106
- Cash Discount Price: $141
- vs. Medicare Baseline: 10.92x 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 1092% of the Medicare baseline (a markup of 992%). 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 | $85 | 875% |
| Americas Choice Provider Network | $99 | 1020% |
| Quiktrip Corporation | $106 | 1092% |
| Usa Managed Care Organization | $106 | 1092% |
| Provider Network Of America | $106 | 1092% |
| Velocity | $106 | 1092% |
| Multiplan-Phcs | $113 | 1164% |
| Prime Health Services | $120 | 1236% |
| Medincrease | $127 | 1308% |
Consumer Guidance & Cost Commentary
For the blood sugar (A1c) test at the Rehabilitation Hospital Of Overland Park in Overland Park, KS, the cash price is $141.00, which matches the facility's median paid amount. This cash rate is notably higher than the state average for this service, which is $9.71. While commercial insurance plans have negotiated rates ranging from $85 to $127, patients with high-deductible plans might find paying the full cash price of $141.00 more cost-effective if their insurance allowed amount exceeds this figure. To ensure you are getting the best possible rate, it is advisable to ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid upfront.
Although the data does not provide a specific county average for comparison, the facility's cash rate of $141.00 serves as a clear benchmark against the national Medicare rate of $9.71, highlighting the significant markup often found in commercial billing. If you are using insurance, be aware that while the facility is in-network for nine different payers, the negotiated rates vary widely, with the lowest being $85 and the highest at $127. If you receive a bill that includes charges beyond the negotiated amount, you may be facing balance billing, which is generally prohibited for out-of-network services at in-network facilities under the No Surprises Act. Always request a detailed, itemized bill before paying to verify that all services rendered are accurately coded and that no unbundled charges or errors have inflated your total.