CMS Price Transparency Data
Blood test, average blood sugar (A1c)
Facility: San Gabriel Valley Medical Center
Billing Code: 83036 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 83036
- Insurance Median: $12
- Cash Discount Price: $110
- vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at San Gabriel Valley Medical Center is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $110. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.24x the Medicare baseline. Located in 438 W Las Tunas Drive, San Gabriel, CA.
Cash / Self-Pay
$110
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: $110 (1133%)
Insurance Median: $12 (124%)
Cash: $110 (1133% 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 |
|---|---|---|
| Veterans Administration | $7 | 72% |
| Ahmc Medi-Cal Reciprocity | $9 | 93% |
| Allied Physicians | $9 - $15 | 93% |
| Altamed Health Network | $9 - $10 | 93% |
| Beverly Hospital | $9 - $11 | 93% |
| Blue Cross Blue Shield | $9 - $47 | 93% |
| Brand New Day | $9 - $129 | 93% |
| Emanate Health | $9 - $12 | 93% |
| Healthnet Medi-Cal Non-Contract | $9 | 93% |
| Healthy Way La | $9 | 93% |
| Non Contracting Medi Cal | $9 | 93% |
| Aetna | $10 - $17 | 103% |
| Aids Healthcare Foundation | $10 - $147 | 103% |
| Alignment Health Plan | $10 | 103% |
| Apa/Aco Inc | $10 | 103% |
| Avanti | $10 - $12 | 103% |
| Blue Shield Of California | $10 - $137 | 103% |
| Central Health Plan | $10 - $221 | 103% |
| Cv-19 Hrsa Uninsured Testing And Tx | $10 | 103% |
| Health Net | $10 - $214 | 103% |
| Health Net Inc | $10 - $23 | 103% |
| Hollywood Presbyterian Adv Med Mcal | $10 | 103% |
| Hollywood Presbyterian Medpoint Mcal | $10 | 103% |
| Humana | $10 | 103% |
| Inter Valley Health Plan | $10 | 103% |
| La Care Health Plan | $10 | 103% |
| Medicaid / KanCare | $10 | 103% |
| Medicare (plans) | $10 | 103% |
| Molina Healthcare Of California | $10 - $144 | 103% |
| Pacific Alliance Medical Center | $10 | 103% |
| Pacificare Of California | $10 - $120 | 103% |
| Physicians Healthways | $10 | 103% |
| Providence Health Network | $10 | 103% |
| Self-Pay | $10 | 103% |
| St Vincent Medical Center/Psych | $10 | 103% |
| Tricare | $10 | 103% |
| Wellcare | $10 | 103% |
| Chinatown Service Center Pace | $11 | 113% |
| Cigna | $11 | 113% |
| Ahmc Health Self-Insurance Epo | $12 | 124% |
| Athens Administrators | $12 | 124% |
| Beech Street | $12 - $294 | 124% |
| Care 1St Health Plan | $12 - $239 | 124% |
| Knox-Keene Act | $12 | 124% |
| Other Non Contracting Workers Comp | $12 | 124% |
| UnitedHealthcare | $19 - $39 | 196% |
| Private Pay | $28 | 288% |
| Ahmc Reciprocity | $110 | 1133% |
| Alignment Healthplan | $129 | 1329% |
| Clever Care | $129 | 1329% |
| Pacific Independent Physician Associates | $147 | 1514% |
| Facey Medical | $184 | 1895% |
| Community Care Network | $239 | 2461% |
| Choicecare Network | $258 | 2657% |
| Private Healthcare Systems (Phcs) | $258 | 2657% |
| Affiliated Health Fund | $276 | 2842% |
| Multiplan | $331 | 3409% |
| Ppo Next | $331 | 3409% |
| Managed Health Network | $368 | 3790% |
| Medi-Cal Sub Acute | $368 | 3790% |
| One Legacy | $368 | 3790% |
| Other Non Contracted Commercial | $368 | 3790% |
| Us Behavioral Health Plan | $368 | 3790% |