CMS Price Transparency Data
Blood test, average blood sugar (A1c)
Facility: Adventist Health White Memorial
Billing Code: 83036 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 83036
- Insurance Median: $20
- Cash Discount Price: $44
- vs. Medicare Baseline: 2.06x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Adventist Health White Memorial is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $44. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 2.06x the Medicare baseline. Located in 1720 Cesar E Chavez Avenue, Los Angeles, CA.
Cash / Self-Pay
$44
Average discount available for prompt cash payment at this facility.
Insurance Median
$20
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: $44 (453%)
Insurance Median: $20 (206%)
Cash: $44 (453% of Medicare)
Ins. Median: $20 (206% 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 206% of the Medicare baseline (a markup of 106%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Blue Shield - All Other Plans | $2 - $134 | 21% |
| Blue Shield Epn | $2 - $115 | 21% |
| Bc Medi-Cal | $3 | 31% |
| Blue Shield Mcr Adv | $3 - $146 | 31% |
| Pacific Ipa - All Other Plans | $3 - $184 | 31% |
| UnitedHealthcare | $3 - $242 | 31% |
| Caremore Mcare - All Plans | $4 - $242 | 41% |
| Hcpamg - All Plans | $4 - $243 | 41% |
| Healthnet - All Other Plans | $4 - $219 | 41% |
| Healthnet Comm Care | $4 - $226 | 41% |
| Kaiser- All Plans | $4 - $199 | 41% |
| Western Growers/Pinnacle - All Plans | $4 - $247 | 41% |
| First Heatlh Ppo - All Plans | $5 - $281 | 51% |
| Healthcare Inc - All Other Plans | $5 - $267 | 51% |
| La Care Mcr Adv - All Plans | $5 - $267 | 51% |
| Ahf - All Plans | $6 - $364 | 62% |
| Beech Street - All Plans | $6 - $364 | 62% |
| Interplan Ppo - All Plans | $6 - $364 | 62% |
| Phcs Ppo - All Plans | $6 - $315 | 62% |
| Scan Health Mcare - All Plans | $6 - $315 | 62% |
| Corvel Corp - All Plans | $7 - $388 | 72% |
| Healthmannet - All Plans | $7 - $412 | 72% |
| Multiplan Ppo - All Plans | $7 - $403 | 72% |
| Next Inc Ppo - All Plans | $7 - $412 | 72% |
| Trpn - All Plans | $7 - $412 | 72% |
| Access Group | $8 | 82% |
| Ahp - All Other Plans | $8 | 82% |
| Fpn Ppo - All Plans | $8 - $436 | 82% |
| Lasalle Mg Commercial - All Other Plans | $8 | 82% |
| Access Medi-Cal | $9 - $11 | 93% |
| Ahp Medi-Cal | $9 - $11 | 93% |
| Alta Los Angeles Mcal 1/1/19 | $9 - $11 | 93% |
| Altamed Medi-Cal - All Other Plans | $9 - $13 | 93% |
| Assoc Hispanic Physcns Mcal | $9 - $16 | 93% |
| Avanti Mcal | $9 - $11 | 93% |
| Bella Vista Mcr Adv Op/Profee Only - All Other Pla | $9 | 93% |
| Bella Vista Medi-Cal Op/Profee Only | $9 - $11 | 93% |
| Blue Shield Medi-Cal | $9 - $28 | 93% |
| Care First Medi-Cal | $9 - $39 | 93% |
| Fcs Ipa Medi-Cal Op/Profee Only | $9 - $13 | 93% |
| Healthcare Inc Medi-Cal | $9 - $11 | 93% |
| Healthnet Mcal | $9 - $13 | 93% |
| Lasalle Mg Medi-Cal | $9 - $11 | 93% |
| Medi-Cal | $9 - $11 | 93% |
| Molina Medi-Cal | $9 - $11 | 93% |
| Pacific Alliance Medi-Cal | $9 - $11 | 93% |
| Pacific Ipa Medi-Cal | $9 - $11 | 93% |
| Preferred Healthy | $9 - $14 | 93% |
| Preferred Ipa La Care Mcal Cap | $9 - $11 | 93% |
| Preferred Medi-Cal | $9 - $11 | 93% |
| Access Senior - All Other Plans | $10 | 103% |
| Ahp Senior | $10 | 103% |
| Alta Los Angeles Mcr 1/1/19-All Other Plans | $10 | 103% |
| Altamed Connect | $10 | 103% |
| Avanti Mcr Adv - All Other Plans | $10 | 103% |
| Blue Cross Blue Shield | $10 - $108 | 103% |
| Brand New Day Mcare - All Plans | $10 | 103% |
| Bs Va Mcare | $10 | 103% |
| Care First Mcare - All Other Plans | $10 | 103% |
| Clever Care - All Plans | $10 | 103% |
| Fcs Ipa Mcr Advan Op/Profee Only | $10 | 103% |
| Fcs Ipa Op/Profee Only - All Other Plans | $10 | 103% |
| Humana | $10 | 103% |
| Lasalle Mg Senior | $10 | 103% |
| Medicare (plans) | $10 | 103% |
| Molina Mcare | $10 | 103% |
| Pacific Alliance Mcare - All Other Plans | $10 | 103% |
| Preferred Senior | $10 | 103% |
| Sunlight Living Hlth Mcr Adv-All Other Plans | $10 | 103% |
| Tricare | $10 | 103% |
| Bright Health - All Plans | $11 | 113% |
| Assoc Hispanic Physcns Hmo/Mcr Adv-All Other Plans | $12 | 124% |
| Preferred Commercial - All Other Plans | $12 | 124% |
| Healthnet Mcr Adv | $13 - $742 | 134% |
| Intergrated Medical - All Plans | $13 | 134% |
| Molina Benefit Exchange - All Other Plans | $13 | 134% |
| Php-Prospect Health Plan Cap - All Plans | $15 | 154% |
| Ah Employee Health Plan - All Plans | $17 | 175% |
| Centivo - All Plans | $22 | 227% |
| Cigna | $41 | 422% |
| Aetna | $51 | 525% |