CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Kona Community Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $12
  • Cash Discount Price: $93
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Kona Community Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $93. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.24x the Medicare baseline. Located in 79-1019 Haukapila Street, Kealakekua, HI.
Cash / Self-Pay
$93

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $93 (958%)
Insurance Median: $12 (124%)
Cash: $93 (958% of Medicare)
Ins. Median: $12 (124% 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
Alohacare $10 103%
Hmsa $10 - $23 103%
Ohana $10 - $11 103%
Ohana Health Plan $10 - $11 103%
Kaiser $10 103%
UnitedHealthcare $10 - $13 103%
Hawaii Western Management Group $10 103%
Kaiser Permanente $10 - $93 103%
Humana $10 103%
Hawaii Medical Service Association $10 - $14 103%
Devoted Health $11 113%
Hma $24 247%
University Health Alliance $25 257%
Uha $25 257%
Hmaa $27 278%
Health Management Network $125 1287%
Mdx Hawaii $143 1473%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 79-1019 Haukapila Street, Kealakekua, HI 96750
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals