Blood test, average blood sugar (A1c)
Facility: Ann & Robert H Lurie Childrens Hospital of Chicago
Billing Code: 83036 (CPT)
- CPT Billing Code: 83036
- Insurance Median: $230
- Cash Discount Price: $201
- vs. Medicare Baseline: 23.69x 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 2369% of the Medicare baseline (a markup of 2269%). 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 |
|---|---|---|
| Medicare (plans) | $49 - $2,656 | 505% |
| UnitedHealthcare | $84 - $92 | 865% |
| Mercycare Health | $106 | 1092% |
| Cigna | $121 - $204 | 1246% |
| Blue Cross Blue Shield | $124 - $230 | 1277% |
| Beacon Health Options | $144 | 1483% |
| Aetna | $144 - $225 | 1483% |
| La Rabida Childrens Hospital | $144 | 1483% |
| Independent Physicians at Mercy | $172 | 1771% |
| Centegra | $172 | 1771% |
| Methodist First Choice | $201 | 2070% |
| Advanced Physicians Association IPA | $201 | 2070% |
| Health Plus | $201 | 2070% |
| Northwest Community Healthcare | $201 | 2070% |
| West Suburban Health Providers | $201 | 2070% |
| St. Francis | $201 | 2070% |
| Presence Health Partners | $201 | 2070% |
| Ui Health | $201 | 2070% |
| Imagine Health | $201 | 2070% |
| Shriners Hospital | $215 | 2214% |
| Swedish Covenant Physician Partners | $215 | 2214% |
| Health Alliance | $230 | 2369% |
| Macneal Health | $230 | 2369% |
| Magellan | $230 - $900 | 2369% |
| American Psych Systems | $230 | 2369% |
| Healthlink Inc. | $237 | 2441% |
| Humana | $244 | 2513% |
| Principal Healthcare | $244 | 2513% |
| Cofinity | $244 | 2513% |
| Hfn Inc | $244 - $258 | 2513% |
| St. Elizabeth | $244 | 2513% |
| Healthstar | $253 | 2606% |
| Sagamore Health Network | $253 | 2606% |
| First Health | $253 | 2606% |
| Preferred Health Network | $253 | 2606% |
| Employer's Coalition on Health | $258 | 2657% |
| Benchmark Health | $258 | 2657% |
| Security Health Plan | $258 | 2657% |
| Private Health Care System | $258 | 2657% |
| Swedish American | $258 | 2657% |
| Beech Street | $258 | 2657% |
| Wellmark/Healthnetwork | $264 | 2719% |
| Health Smart | $273 | 2812% |
| Integrated Health Plan | $273 | 2812% |
| Multiplan | $273 | 2812% |
| Wea Insurance Group | $273 | 2812% |
| National Provider Network | $273 | 2812% |
| Unicare | $3,678 - $8,500 | 37878% |