CMS Price Transparency Data
Blood test, average blood sugar (A1c)
Facility: Garfield Medical Center
Billing Code: 83036 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 83036
- Insurance Median: $8
- Cash Discount Price: $9
- vs. Medicare Baseline: 0.82x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Garfield Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 0.82x the Medicare baseline. Located in 525 N Garfield Ave, Monterey Park, CA.
Cash / Self-Pay
$9
Average discount available for prompt cash payment at this facility.
Insurance Median
$8
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: $9 (93%)
Insurance Median: $8 (82%)
Cash: $9 (93% of Medicare)
Ins. Median: $8 (82% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Access Ipa Ancillary | $1 - $105 | 10% |
| Ahmc Healthcare Inc | $1 - $105 | 10% |
| Family Health Alliance | $1 - $105 | 10% |
| Pacific Independent Physician Association | $1 - $56 | 10% |
| Allied Physicians Med Grp | $2 - $176 | 21% |
| Allied Physicians Risk Pool | $2 - $123 | 21% |
| Allied Physicians Risk Pool Agreement | $2 - $123 | 21% |
| Associated Hispanic Phys Of So Cal | $2 - $70 | 21% |
| Blue Cross Blue Shield | $2 - $176 | 21% |
| Blue Shield Of California | $2 - $176 | 21% |
| Care First Health Plan | $2 - $35 | 21% |
| Central Health Plan | $2 - $140 | 21% |
| Employee Health Systems Mg | $2 - $70 | 21% |
| Health Net Foundation Comm/Sr (Family Health Alliance) | $2 - $140 | 21% |
| Health Net Foundation M Cal (Family Health Alliance) | $2 - $140 | 21% |
| Healthnet Medi Cal Cap | $2 - $123 | 21% |
| Molina Medical Group | $2 - $137 | 21% |
| Phys Assoc Of San Gab Valley | $2 - $140 | 21% |
| Pipa Risk Pool Agreement | $2 - $123 | 21% |
| UnitedHealthcare | $2 - $211 | 21% |
| Aetna | $3 - $256 | 31% |
| Alhambra Hospital | $3 - $211 | 31% |
| Care 1St Health Plan | $3 - $211 | 31% |
| First Health Network | $3 - $246 | 31% |
| Health Net | $3 - $295 | 31% |
| Health Net Comm/Hmo | $3 - $193 | 31% |
| Interplan | $3 - $263 | 31% |
| La Care Health Plan | $3 - $193 | 31% |
| One Health Plan | $3 - $246 | 31% |
| Americas Health Plan | $4 - $298 | 41% |
| Corvel Corporation | $4 - $281 | 41% |
| Fmc Los Angeles Co Epo | $4 - $263 | 41% |
| Health Payors Organization | $4 - $316 | 41% |
| Multiplan | $4 - $298 | 41% |
| Advantage Care Ipa | $5 - $351 | 51% |
| Ahmc Health Epo | $5 - $12 | 51% |
| Aids Health Foundation | $5 - $10 | 51% |
| Alignment Health Plan | $5 - $10 | 51% |
| Allied Physicians | $5 - $15 | 51% |
| Apa Aco Inc | $5 - $10 | 51% |
| Athens Administrators | $5 - $12 | 51% |
| Avanti | $5 - $12 | 51% |
| Beverly Hospital | $5 - $11 | 51% |
| Blue Shield | $5 - $136 | 51% |
| Brand New Day | $5 - $12 | 51% |
| Caloptima Direct | $5 - $14 | 51% |
| Care 1St Mcl/Gar Cap Reciprocity | $5 - $9 | 51% |
| Cms | $5 - $10 | 51% |
| Community Health Plan | $5 - $9 | 51% |
| Cv-19 Hrsa Uninsured Testing And Tx | $5 - $10 | 51% |
| East La Reg Ctr | $5 - $351 | 51% |
| Easy Choice Health Plan | $5 - $10 | 51% |
| Emanate Health | $5 - $12 | 51% |
| Healthy Way La | $5 - $9 | 51% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $5 - $10 | 51% |
| Hollywood Presbyterian Medpoint Mcal | $5 - $10 | 51% |
| Humana | $5 - $10 | 51% |
| Inter Valley Health Plan | $5 - $10 | 51% |
| Knox-Keene Act | $5 - $12 | 51% |
| La Care Covered Direct | $5 - $10 | 51% |
| Molina Healthcare | $5 - $10 | 51% |
| Molina Healthcare Of California | $5 - $12 | 51% |
| National Disaster Medical System | $5 - $11 | 51% |
| Non Contract Commercial | $5 - $351 | 51% |
| Non-Contract Medi-Care | $5 - $10 | 51% |
| One Legacy | $5 - $351 | 51% |
| Other Non-Contracted Workers Compensation | $5 - $12 | 51% |
| Other Non-Contracting Medi-Cal | $5 - $9 | 51% |
| Pacific Alliance Medical Center Comm/Sr | $5 - $10 | 51% |
| Physician Healthways Medical Corporation | $5 - $11 | 51% |
| Physicians Healthways Medi-Cal | $5 - $351 | 51% |
| Physicians Healthways Medical Corporation | $5 - $351 | 51% |
| Preferred Health Network | $5 - $11 | 51% |
| Private Pay | $5 - $351 | 51% |
| San Miguel Health Plan | $5 - $11 | 51% |
| Scan Health Plan Sr Hmo | $5 - $10 | 51% |
| Self-Pay | $5 - $10 | 51% |
| State Of California Medi-Cal | $5 - $10 | 51% |
| Ucla Impact Dept Of Uncology | $5 - $10 | 51% |
| Veterans Administration | $5 - $7 | 51% |
| Chinatown Service Center Pace | $6 - $12 | 62% |
| Health Net Inc | $8 - $16 | 82% |
| Cigna | $11 | 113% |
| Pacificare Of California Inc | $19 | 196% |
| Pacificare Ppo | $19 | 196% |