CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Ventura County Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $16
  • Cash Discount Price: $85
  • vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Ventura County Medical Center is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $85. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.65x the Medicare baseline. Located in 300 Hillmont Avenue, Ventura, CA.
Cash / Self-Pay
$85

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $85 (875%)
Insurance Median: $16 (165%)
Cash: $85 (875% of Medicare)
Ins. Median: $16 (165% 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
Alignment Hp - All Plans $10 103%
Blue Shield Mcr Adv $10 103%
Healthnet Mcr Adv $10 103%
Humana $10 103%
UnitedHealthcare $10 - $93 103%
Americas Hp Mcr Adv Ip/Op Only $11 113%
Clinicas Mcr Adv $11 113%
Hpn Ip/Op Only Medi-Cal $11 113%
Kaiser Medi-Cal Ip/Op Only $11 113%
Medi-Cal $11 113%
Kaiser Mcal Pediatric Ip/Op Only $12 124%
Scan-All Plans $12 124%
Western Growers-All Plans $12 124%
Clinicas Comm - All Other Plans $13 134%
Imperial-All Plans $13 134%
Ntwrk Provdrs-All Plans $13 134%
Americas Hp Mcal Ip/Op Only $14 144%
Clinicas Mcal $14 144%
Americas Hp Comm Ip/Op Only-All Other Plans $15 154%
Tricare $17 175%
Cigna $18 185%
Gold Coast Medi-Cal-All Plans $20 206%
Vchcp-All Plans $32 330%
Blue Shield Comm - All Other Plans $33 340%
Blue Shield Epn $66 680%
Healthnet Comm-All Other Plans $94 968%
Kaiser Comm Pediatric Ip/Op Only $94 968%
Aetna $99 - $170 1020%
Blue Cross Blue Shield $102 - $157 1050%
Multiplan/Claritev-All Plans $136 1401%
Three Rivers Ip/Op Only-All Plans $136 1401%
Ppo Next Ip/Op Only-All Plans $153 1576%
Kaiser Mcr Pediatric Ip/Op Only $170 1751%
Medicare (plans) $170 1751%
Hpn Comm Ip/Op Only-All Other Plans $241 2482%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Hillmont Avenue, Ventura, CA 93003
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals