CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Sharp Coronado Hospital and Hlthcr Ctr

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $56
Cash Discount Price: $65
vs. Medicare Baseline: 5.77x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Sharp Coronado Hospital and Hlthcr Ctr is $56. 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 5.77x the Medicare baseline. Located in 250 Prospect Place, Coronado, CA.

Cash / Self-Pay

$65

Average discount available for prompt cash payment at this facility.

Insurance Median

$56

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: $56 (577%)

Cash: $65 (669% of Medicare)

Ins. Median: $56 (577% 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 577% of the Medicare baseline (a markup of 477%). 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
County Medical Services	$1	10%
Humana	$26	268%
Multiplan	$26	268%
Health Net	$27 - $44	278%
Community Health Group	$30 - $61	309%
Blue Cross Blue Shield	$42 - $65	433%
California Health And Wellness	$42 - $55	433%
UnitedHealthcare	$42 - $57	433%
Molina	$44 - $56	453%
Allianz Global Assistance	$49 - $52	505%
Cigna	$49 - $65	505%
Epic Americas	$49	505%
Aetna	$56 - $70	577%
Managed Health Network	$56	577%
Blue Shield	$61 - $65	628%
Interplan	$67 - $120	690%
Medi-Cal	$67	690%

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 Sharp Coronado Hospital and Hlthcr Ctr 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.