CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Alhambra Hospital Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $9
  • Cash Discount Price: $192
  • vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Alhambra Hospital Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $192. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 0.93x the Medicare baseline. Located in 100 S Raymond Ave, Alhambra, CA.
Cash / Self-Pay
$192

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $192 (1977%)
Insurance Median: $9 (93%)
Cash: $192 (1977% of Medicare)
Ins. Median: $9 (93% 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
Ahmc-Reciprocity-Comm/Senior $1 - $114 10%
Allied Physicians Comm/Sr $1 - $133 10%
Allied Physicians Medi-Cal $1 - $133 10%
Wellcare Allied Senior Hmo $1 - $133 10%
Cigna $2 - $171 21%
Health Net Exchange Enhanced Ppo $2 - $161 21%
Kaiser Commercial $2 - $236 21%
Medicare (plans) $2 - $228 21%
Molina Health Plan $2 - $148 21%
Self Pay $2 - $152 21%
Multiplan $3 - $305 31%
Scan Senior Plan $3 - $247 31%
Aetna $4 - $16 41%
Ahmc-Reciprocity-Medi-Cal/Healthy Families $4 - $9 41%
Alignment Senior Hmo $4 - $10 41%
Allied Physicians Of Ca Medi-Cal $4 - $10 41%
Altamed Senior Services $4 - $10 41%
Apa Aco $4 - $9 41%
Blue Cross Blue Shield $4 - $18 41%
Blue Shield 65 Plus $4 - $9 41%
Brand New Day Sr $4 - $10 41%
Central Health Plan Of Ca Senior Hmo $4 - $10 41%
Citrus Valley Health Partners $4 - $9 41%
Health Net Medi-Cal $4 - $10 41%
Health Net Senior Hmo $4 - $10 41%
Humana $4 - $10 41%
Kaiser Medi-Cal $4 - $9 41%
La Care Exchange $4 - $10 41%
La Care Medi-Cal Hmo $4 - $10 41%
La Care Pasc Seiu Misc $4 - $9 41%
Medi-Cal $4 - $10 41%
Miscellaneous Commercial Ppo/Hmo $4 - $381 41%
Miscellaneous Medi-Cal Hmo $4 - $9 41%
Miscellaneous Senior Hmo $4 - $10 41%
Miscellaneous Work Comp Hmo $4 - $12 41%
Stewart Mg Senior Hmo $4 - $7 41%
Tricare $4 - $11 41%
UnitedHealthcare $4 - $19 41%
Wellcare Senior Hmo $4 - $10 41%
Health Net Exchange $5 - $12 51%
Health Net Salud Con Hmo $5 - $12 51%
Molina Exchange $5 - $12 51%
Ahmc Health $6 - $14 62%
Allied Physicians Of Ca Commercial $6 - $15 62%
Health Net Ppo/Epo/Pos $8 - $20 82%
Blue Shield Value Network Exchange $121 1246%
Blue Shield Hmo/Ppo $135 1390%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 S Raymond Ave, Alhambra, CA 91801
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals