CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: City of Hope National Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $36
Cash Discount Price: $65
vs. Medicare Baseline: 3.71x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at City of Hope National Medical Center is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $65. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 3.71x the Medicare baseline. Located in 1500 Duarte Rd, Duarte, CA.

Cash / Self-Pay

$65

Average discount available for prompt cash payment at this facility.

Insurance Median

$36

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: $65 (669%)

Insurance Median: $36 (371%)

Cash: $65 (669% of Medicare)

Ins. Median: $36 (371% 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 371% of the Medicare baseline (a markup of 271%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$3 - $97	31%
Blue Shield	$3 - $88	31%
Blue Shield Covca	$3 - $41	31%
Heritage Provider Network	$3 - $48	31%
UnitedHealthcare	$3 - $38	31%
Blue Shield Promise	$4 - $48	41%
Cencal	$4 - $54	41%
Inland Empire	$4 - $54	41%
La Care Health	$4 - $54	41%
Aetna	$5 - $68	51%
Gold Coast	$5 - $68	51%
Health Net	$5 - $66	51%
Kaiser	$5 - $61	51%
Molina	$5 - $88	51%
Prime Healthcare Keenan	$5 - $65	51%
Cigna	$6 - $73	62%
Healthcare Partners	$6 - $79	62%
St. Joseph Heritage	$6 - $81	62%
Primecare Medical Network	$7 - $88	72%
First Health	$8 - $105	82%
Cal Optima	$10 - $12	103%
Phcs Multiplan	$10 - $122	103%
Facey	$11 - $13	113%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $65.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 83036.

Insurance In-Network Protection Plan

Contact your insurance company to confirm City of Hope National Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 83036.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.