CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: El Centro Regional Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $10
  • Cash Discount Price: $59
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at El Centro Regional Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $59. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.03x the Medicare baseline. Located in 1415 Ross Avenue, El Centro, CA.
Cash / Self-Pay
$59

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $59 (608%)
Insurance Median: $10 (103%)
Cash: $59 (608% of Medicare)
Ins. Median: $10 (103% 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
Aetna $4 - $70 41%
UnitedHealthcare $5 - $80 51%
Pacificare-All Plans $6 - $99 62%
Cigna $7 - $120 72%
Mulitplan Primary - All Other Plans $7 - $109 72%
Multiplan Comp $8 - $128 82%
Trident - All Plans $8 - $136 82%
Healthnet Comm-All Other Plans $9 - $144 93%
Humana $9 - $149 93%
Ahccs/Medi-Cal Misc - All Plans $10 - $160 103%
Ambetter / Centene $10 - $165 103%
Blue Cross Blue Shield $10 - $160 103%
Brand New Day Comm - All Other Plans $10 103%
Brand New Day Mcal $10 - $160 103%
Brand New Day Mcr $10 103%
Healthnet Mcr Adv $10 103%
Medi-Cal $10 - $160 103%
Molina Exchange - All Other Plans $10 - $160 103%
Molina Mcr Adv $10 103%
Scp Managed Care - All Plans $10 103%
Tricare $10 103%
Easy Choice Mcr Adv-All Plans $11 113%
Molina Mcal $11 - $176 113%
Healthnet Hmo $12 124%
Cdcr Correctional-All Plans $13 134%
Blue Shield-All Plans $61 628%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1415 Ross Avenue, El Centro, CA 92243
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals