CMS Price Transparency Data
Blood test, average blood sugar (A1c)
Facility: San Antonio Regional Hospital
Billing Code: 83036 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 83036
- Insurance Median: $12
- Cash Discount Price: $185
- vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at San Antonio Regional Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $185. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.24x the Medicare baseline. Located in 999 San Bernardino Road, Upland, CA.
Cash / Self-Pay
$185
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: $185 (1905%)
Insurance Median: $12 (124%)
Cash: $185 (1905% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| UnitedHealthcare | $1 - $201 | 10% |
| Ambetter / Centene | $2 - $87 | 21% |
| Blue Cross Blue Shield | $2 - $255 | 21% |
| Blue Shield Epo Ppo - All Other Plans | $3 - $192 | 31% |
| Blue Shield Hmo Pos / Calpers Ppo | $3 - $177 | 31% |
| Epic Health Plan - All Other Plans | $3 - $143 | 31% |
| Pc Inland Valley Scan | $4 - $239 | 41% |
| Pc Inland Valley-All Other Plans | $4 - $239 | 41% |
| Coventry Ccn/First Hlth - All Plans | $5 - $263 | 51% |
| Choicecare Ntwrk-All Plans | $6 - $344 | 62% |
| Multiplan/Phcs - All Plans | $6 - $344 | 62% |
| Networks By Design - All Plans | $6 - $358 | 62% |
| Zelis Comm-All Other Plans | $6 - $358 | 62% |
| Foundation Inland Epo-All Other Plans | $7 - $382 | 72% |
| Foundation Inland Ppo | $7 - $406 | 72% |
| Aetna | $8 - $478 | 82% |
| Alpha Care Mg Mcal/Hlthy Kids | $8 - $12 | 82% |
| Alpha Care Mg Mcr Adv | $8 - $478 | 82% |
| Central Hlth Plan Mcr Adv-All Plans | $8 - $478 | 82% |
| Epic Health Plan Mcr Adv | $8 - $478 | 82% |
| Health Payors - All Plans | $8 - $430 | 82% |
| Healthnet Medi-Cal | $8 | 82% |
| Heritage Prov Ntwrk/Regal Mcal | $8 - $12 | 82% |
| Heritage Prov Ntwrk/Regal Mcr Adv | $8 - $485 | 82% |
| Iehp Mcal | $8 - $14 | 82% |
| Interplan - All Plans | $8 - $430 | 82% |
| Kaiser Medi-Cal | $8 - $12 | 82% |
| Medi-Cal | $8 - $11 | 82% |
| Molina Medi-Cal | $8 - $13 | 82% |
| Prospect Hp-All Plans | $8 - $478 | 82% |
| Providence Clevercare Mcr Adv | $8 - $478 | 82% |
| Wellcare/Easy Choice-All Plans | $8 - $468 | 82% |
| Clever Care Mcr Adv - All Plans | $9 - $502 | 93% |
| La Salle Hp Mcr Adv-All Plans | $9 - $502 | 93% |
| Providence Oscar-All Other Plans | $9 - $502 | 93% |
| Alpha Care Mg-All Other Plans | $10 - $598 | 103% |
| Blue Shield Mcr Adv | $10 | 103% |
| Caremore Mcr Adv - All Plans | $10 | 103% |
| Choice Phycn Ntwrk Mcr Adv-All Other Plans | $10 | 103% |
| Healthnet Mcr Adv | $10 | 103% |
| Humana | $10 | 103% |
| Iehp Mcr Adv | $10 | 103% |
| Inter Valley Hp Mcr Adv- All Plans | $10 | 103% |
| Kasiser Mcr Adv | $10 | 103% |
| Kindred Mcr Adv-All Plans | $10 | 103% |
| Molina Mcr Adv | $10 | 103% |
| Scan Health Plan Mcr Adv-All Plans | $10 | 103% |
| Tricare | $10 | 103% |
| Universal Care - All Plans | $10 | 103% |
| Zelis Mcr Adv | $10 | 103% |
| Imperial Health Mcr Adv-All Plans | $11 | 113% |
| Choice Phycn Ntwrk Op Only | $12 | 124% |
| Molina Exchange-All Other Plans | $13 | 134% |
| Iehp Comm - All Other Plans | $14 | 144% |
| Heritage Prov Ntwrk/Regal - All Other Plans | $15 - $878 | 154% |
| Redlands Employee | $15 | 154% |
| Redlands Hmo-All Other Plans | $15 | 154% |
| Prime Health - All Plans | $17 | 175% |
| Healthnet - All Other Plans | $23 | 237% |
| Blue Shield Epn | $27 | 278% |
| Kaiser Comm - All Other Plans | $27 | 278% |
| Cigna | $35 | 360% |