CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: AHMC Seton Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $12
  • Cash Discount Price: $158
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at AHMC Seton Medical Center is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $158. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.24x the Medicare baseline. Located in 1900 Sullivan Avenue, Daly City, CA.
Cash / Self-Pay
$158

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $158 (1627%)
Insurance Median: $12 (124%)
Cash: $158 (1627% of Medicare)
Ins. Median: $12 (124% 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
Veterans Administration (Va) $7 72%
Medi-Cal $9 93%
Aetna $10 - $30 103%
Apcmg $10 - $15 103%
Asian American Medical Group $10 - $12 103%
Blue Cross Blue Shield $10 - $150 103%
Blue Shield Of California $10 - $124 103%
Brand New Day $10 - $12 103%
Brown And Toland Medical Group $10 - $12 103%
Canopy Health $10 - $17 103%
Care Advantage $10 103%
Central Health Plan $10 103%
Chinese Community Health Plan $10 - $98 103%
Cmac $10 103%
Covid-19 Uninsured Program $10 103%
Easy Choice Hospital Services $10 103%
For Your Benefit $10 103%
Healthnet Seniority $10 103%
Hill Physicians Medical Group Inc $10 - $11 103%
Humana $10 103%
Imperial Health Plan $10 103%
Jade Health Care Mg $10 - $98 103%
Kaiser $10 - $162 103%
Medicare (plans) $10 103%
North East Medical Services $10 - $12 103%
Pacificare $10 103%
San Mateo County/San Mateo County General Hospital $10 103%
UnitedHealthcare $10 - $19 103%
Tricare $11 113%
Ahmc Health $12 124%
Athens Administrators $12 124%
Corvel Healthcare $12 124%
Health Plan Of San Mateo Healthworx $12 124%
Knox-Keene Act $12 124%
Multiplan/Bce Emergis $12 - $148 124%
San Francisco Health Plan $12 124%
Work Comp Other $12 124%
Health Plan Of San Mateo $14 144%
Self Pay $30 - $67 309%
Workers Compensation Federal $33 340%
Cigna $50 515%
Interplan Corporation $118 1215%
Healthcare Foundation Of San Mateo $138 - $148 1421%
Private Healthcare Sytems Inc $148 1524%
The First Health Network $148 1524%
Health Net $151 1555%
Beech Street Corporation $158 1627%
Choicecare Network $167 1720%
Multiplan $167 1720%
Mills Peninsula Health Services $177 1823%
Indemnity $197 2029%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1900 Sullivan Avenue, Daly City, CA 94015
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals