CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Good Samaritan Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $14
  • Cash Discount Price: $709
  • vs. Medicare Baseline: 1.44x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Good Samaritan Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $709. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.44x the Medicare baseline. Located in 2425 Samaritan Drive, San Jose, CA.
Cash / Self-Pay
$709

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $709 (7302%)
Insurance Median: $14 (144%)
Cash: $709 (7302% of Medicare)
Ins. Median: $14 (144% 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
Medcare Partners $3 - $112 31%
Santa Clara Family Health Plan $3 - $142 31%
Health Net $4 - $174 41%
United $5 - $190 51%
Aetna $10 - $49 103%
Affinity Medical Group $10 103%
Alignment Health Plan $10 103%
Blue Cross Blue Shield $10 - $51 103%
Blue Shield $10 - $18 103%
Care1St Health Plan $10 103%
Central Health Plan $10 103%
Clever Care Of Golden State $10 103%
Easy Choice Health Plan $10 103%
Humana $10 - $521 103%
Managed Health Network $10 103%
On Lok Senior Health $10 103%
Palo Alto Medical $10 - $13 103%
Scan Health Plan $10 103%
Triwest Healthcare Alliance $10 103%
University Healthcare $10 103%
Vitality Health Plan $10 103%
Corvel Corporation $11 113%
Nx Health Network $11 - $447 113%
Physicians Medical Group $11 113%
Sutter Select $11 - $447 113%
Multiplan $12 - $596 124%
Affinity Medical Group Comm $13 134%
Cigna $14 - $596 144%
First Health $14 - $745 144%
Healthsmart $14 - $596 144%
Intercontinental Corporation $14 - $596 144%
Pha Pacific Health Alliance $14 - $596 144%
Ppo Next $14 - $596 144%
Canopy $17 175%
Bright Health $19 196%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2425 Samaritan Drive, San Jose, CA 95124
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals