CMS Price Transparency Data
Blood test, average blood sugar (A1c)
Facility: Watsonville Community Hospital
Billing Code: 83036 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 83036
- Insurance Median: $488
- Cash Discount Price: $530
- vs. Medicare Baseline: 50.26x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Watsonville Community Hospital is $488. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $530. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 50.26x the Medicare baseline. Located in 75 Nielson Street, Watsonville, CA.
Cash / Self-Pay
$530
Average discount available for prompt cash payment at this facility.
Insurance Median
$488
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: $530 (5458%)
Insurance Median: $488 (5026%)
Cash: $530 (5458% of Medicare)
Ins. Median: $488 (5026% 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 5026% of the Medicare baseline (a markup of 4926%). 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 |
|---|---|---|
| Ace-Usa | $10 | 103% |
| Alignment Health Plan | $10 | 103% |
| Beta Healthcare Group | $10 | 103% |
| Blue Shield Ppo | $10 - $31 | 103% |
| Crawford & Co | $10 | 103% |
| Fireman'S Fund Work Comp | $10 | 103% |
| Fleming & Associates | $10 | 103% |
| Gallagher Bassett Svcs | $10 | 103% |
| Hartford Workers' Comp | $10 | 103% |
| Health Net Of California | $10 - $553 | 103% |
| Keenan & Assoc Work Comp | $10 | 103% |
| Kemper Group Workers Comp | $10 | 103% |
| Liberty Mutual Work Comp | $10 | 103% |
| Medicare (plans) | $10 | 103% |
| Miscellaneous Work Comp | $10 | 103% |
| Nx Health Network | $10 | 103% |
| Pinnacle Healthcare Uc | $10 | 103% |
| Republic Idemnity W/Comp | $10 | 103% |
| Secure Horizons | $10 | 103% |
| Secure Horizons Dign Hmo | $10 - $177 | 103% |
| Travelers Insurance | $10 - $883 | 103% |
| Tricare | $10 | 103% |
| U.S. Dept. Of Labor | $10 | 103% |
| UnitedHealthcare | $10 - $530 | 103% |
| Veterans Administration | $10 | 103% |
| Western Growers Work Comp | $10 | 103% |
| Workers Comp | $10 | 103% |
| California Childrens Srvs | $12 | 124% |
| Ccs/Monterey County | $12 | 124% |
| Healthy Families | $12 - $31 | 124% |
| Medi-Cal E.R. | $12 | 124% |
| Medi-Cal/Eds | $12 | 124% |
| Medicaid / KanCare | $12 | 124% |
| Well Path | $12 - $883 | 124% |
| Alliance/Sccho | $13 | 134% |
| Aetna | $14 - $724 | 144% |
| Blue Cross Blue Shield | $14 - $786 | 144% |
| Blue Shield Hmo | $14 - $177 | 144% |
| Cigna | $14 - $618 | 144% |
| Great-West/Phcs | $14 - $618 | 144% |
| Health Net Pmg Hmo | $14 - $553 | 144% |
| Pacificare Hmo | $14 - $530 | 144% |
| Bs Employee | $31 | 319% |
| Ufcw/Valley Clerks | $31 | 319% |
| United Agriculture | $31 | 319% |
| Calif Ironworkers Field | $65 - $786 | 669% |
| Carpenters H&W Trust | $65 - $786 | 669% |
| City Of Wats/Pinnacle Clm | $65 - $786 | 669% |
| Claims Management Wc | $65 - $786 | 669% |
| Delta Health Systems | $65 - $786 | 669% |
| Laborers Health & Welfare | $65 - $786 | 669% |
| Monterey Bay Pub Emp Trst | $65 - $786 | 669% |
| Operating Engineers | $65 - $786 | 669% |
| Pinnacle Claims Tpa/Bc | $65 - $786 | 669% |
| Robert Kennedy/Ccn | $65 - $786 | 669% |
| Sheet Metal Workers | $65 - $786 | 669% |
| State Compensation Fund | $65 - $786 | 669% |
| Teamsters Benefit Trust | $65 - $786 | 669% |
| Western Growers Trust/Bc | $65 - $786 | 669% |
| Medicruz | $159 | 1637% |
| Victim Compensation Plan | $159 - $883 | 1637% |
| Western Health Advantage | $441 | 4542% |
| Health Net Smartcare Netw | $530 | 5458% |
| Pacificare Ppo | $530 | 5458% |
| Self Pay | $530 | 5458% |
| Health Net Blue And Gold | $553 | 5695% |
| Health Net Canopycare Hmo | $553 | 5695% |
| Adventist Risk Management | $618 - $706 | 6365% |
| First Health | $618 - $706 | 6365% |
| Geha (Ccn) | $618 - $706 | 6365% |
| Transwestern | $618 - $706 | 6365% |
| Multiplan Inc Ppo | $689 | 7096% |
| Private Healthcare System | $689 | 7096% |
| Coastal Healthcare Admin | $750 - $794 | 7724% |
| Salinas Valley Mem Hops | $750 | 7724% |
| Aaa | $883 | 9094% |
| Aarp | $883 | 9094% |
| Allstate | $883 | 9094% |
| Apwu Health Plan | $883 | 9094% |
| Bankers Life & Casualty | $883 | 9094% |
| Farmers Insurance | $883 | 9094% |
| Humana | $883 | 9094% |
| Miscellaneous Auto | $883 | 9094% |
| Miscellaneous Insurance | $883 | 9094% |
| North Calif Bakery Driver | $883 | 9094% |
| Physicians Mutual | $883 | 9094% |
| Prucare Pmg Hmo | $883 | 9094% |
| Prucare Pmg Pos | $883 | 9094% |
| State Farm Ins | $883 | 9094% |
| Sutter Health Plus | $883 | 9094% |
| United Administrative | $883 | 9094% |
| Wholesale Beer Distributo | $883 | 9094% |
| Zenith National Ins | $883 | 9094% |