CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Chinese Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $48
Cash Discount Price: $119
vs. Medicare Baseline: 4.94x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Chinese Hospital is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $119. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 4.94x the Medicare baseline. Located in 845 Jackson St, San Francisco, CA.

Cash / Self-Pay

$119

Average discount available for prompt cash payment at this facility.

Insurance Median

$48

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: $119 (1226%)

Insurance Median: $48 (494%)

Cash: $119 (1226% of Medicare)

Ins. Median: $48 (494% 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 494% of the Medicare baseline (a markup of 394%). 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
Blue Cross Blue Shield	$4 - $13	41%
Aetna	$10 - $50	103%
Cchp Mcr Adv	$10	103%
Jade Mcr Adv	$10	103%
Jade-All Other Plans	$11	113%
Medi-Cal	$11	113%
On Lok Mcr Adv-All Plans	$11	113%
San Francisco Health Plan- All Plans	$11	113%
Hp Of San Mateo Medi-Cal	$14	144%
Blue Shield Medi-Cal	$15	154%
Hp Of San Mateo Health Kids/Health Worx-All Other	$15	154%
Asian Medical Group Medi-Cal Op Only	$16	165%
Jade Medi-Cal	$20	206%
Health Net-All Plans	$24 - $68	247%
Cigna	$25 - $71	257%
Cchp-All Other Plans	$38 - $110	391%
Hp Of San Mateo Mcr Adv	$40 - $116	412%
Asian Medical Group Mcare Op Only-All Other Plans	$45 - $129	463%
Bay Area Accountable Care Mcare	$45 - $129	463%
Bay Area Accountable Care - All Other Plans	$81 - $232	834%
Blue Shield - All Other Plans	$261	2688%

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 $119.
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 Chinese Hospital 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.