CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Sharp Chula Vista Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $55
  • Cash Discount Price: $65
  • vs. Medicare Baseline: 5.66x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Sharp Chula Vista Medical Center is $55. 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 5.66x the Medicare baseline. Located in 751 Medical Center Court, Chula Vista, CA.
Cash / Self-Pay
$65

Average discount available for prompt cash payment at this facility.

Insurance Median
$55

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: $55 (566%)
Cash: $65 (669% of Medicare)
Ins. Median: $55 (566% 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 566% of the Medicare baseline (a markup of 466%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $1 - $70 10%
Blue Cross Blue Shield $1 - $65 10%
Humana $26 268%
Molina $26 - $60 268%
Blue Shield $42 - $60 433%
Epic Americas $44 - $57 453%
Health Net $44 - $78 453%
Community Health Group $48 - $78 494%
Kaiser $48 494%
County Medical Services $52 536%
UnitedHealthcare $53 - $120 546%
California Health And Wellness $60 618%
Indian Health Council $60 618%
Managed Health Network $61 - $65 628%
San Diego Pace $61 628%
Cigna $78 803%
Multiplan $85 875%
Medicare (plans) $120 1236%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 751 Medical Center Court, Chula Vista, CA 91911
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals