CMS Price Transparency Data
Blood test, average blood sugar (A1c)
Facility: Greater El Monte Community Hospital
Billing Code: 83036 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 83036
- Insurance Median: $9
- Cash Discount Price: $16
- vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Greater El Monte Community Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 0.93x the Medicare baseline. Located in 1701 Santa Anita Ave, South El Monte, CA.
Cash / Self-Pay
$16
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: $16 (165%)
Insurance Median: $9 (93%)
Cash: $16 (165% 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
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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 |
|---|---|---|
| Ahmc Reciprocity Agreement | $1 - $110 | 10% |
| Ahmc Reciprocity Agreement Senior/Commercial | $1 - $110 | 10% |
| Allied Physicians Medical Group | $1 - $110 | 10% |
| Alta Med Health Services Med Grp | $1 - $92 | 10% |
| Good Samaritan Medical Practice Assoc | $1 - $221 | 10% |
| Lincoln Hospital Medical Center | $1 - $110 | 10% |
| Bella Vista Medical Group Ipa | $2 - $166 | 21% |
| Blue Cross Blue Shield | $2 - $184 | 21% |
| Blue Shield Of California | $2 - $184 | 21% |
| California Thoroughbred Horesmans Foundation | $2 - $184 | 21% |
| Care 1St Medi Cal Hmo Cap Exceptional Care | $2 - $37 | 21% |
| Care First Health Plan | $2 - $37 | 21% |
| Clinica Medica Familiar | $2 - $184 | 21% |
| Global Care Medical Group Ipa | $2 - $166 | 21% |
| Molina Healthcare Of California | $2 - $144 | 21% |
| Universal Care | $2 - $258 | 21% |
| Care 1St Health Plan | $3 - $221 | 31% |
| Central Health Plan | $3 - $258 | 31% |
| Cost Containment Strategies | $3 - $239 | 31% |
| Employee Health Systems Medical Group | $3 - $74 | 31% |
| Health Net Foundation | $3 - $239 | 31% |
| Health Net Inc | $3 - $261 | 31% |
| In Custody Police Dept | $3 - $239 | 31% |
| Interplan | $3 - $276 | 31% |
| La Care Health Plan | $3 - $202 | 31% |
| UnitedHealthcare | $3 - $316 | 31% |
| Community Care Network | $4 - $294 | 41% |
| Health Payors Organization | $4 - $331 | 41% |
| Multiplan | $4 - $313 | 41% |
| Pacificare Of California | $4 - $319 | 41% |
| Ahmc Health Self-Insurance Epo | $5 - $12 | 51% |
| Ahmc Healthcare Inc | $5 - $9 | 51% |
| Aids Health Foundation | $5 - $10 | 51% |
| Alignment Health Plan | $5 - $10 | 51% |
| Allied Physicians | $5 - $14 | 51% |
| Altamed Health Network | $5 - $10 | 51% |
| Apa/Aco Inc | $5 - $10 | 51% |
| Associated Hispanic Physicians | $5 - $10 | 51% |
| Athens Administrators | $5 - $12 | 51% |
| Avanti | $5 - $12 | 51% |
| Beverly Hospital | $5 - $11 | 51% |
| Brand New Day | $5 - $12 | 51% |
| Caloptima | $5 - $13 | 51% |
| Champus Foundation | $5 - $11 | 51% |
| Cms | $5 - $10 | 51% |
| Commercial Non Contract | $5 - $368 | 51% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $5 - $10 | 51% |
| Easy Choice Health Plan | $5 - $10 | 51% |
| Emanate Health | $5 - $12 | 51% |
| Healthy Way La | $5 - $9 | 51% |
| Hollywood Presbyterian Adv Med Mcal | $5 - $10 | 51% |
| Hollywood Presbyterian Medpoint Mcal | $5 - $10 | 51% |
| Inter Valley Health Plan | $5 - $10 | 51% |
| Intercomp | $5 - $10 | 51% |
| Knox-Keene Act | $5 - $12 | 51% |
| La Care Covered Direct | $5 - $10 | 51% |
| Medi-Cal Sub Acute | $5 - $368 | 51% |
| Molina Healthcare | $5 - $10 | 51% |
| Nuclear Medicine/Whmc | $5 - $368 | 51% |
| One Legacy | $5 - $368 | 51% |
| Other Non Contracted Medi-Cal Hmo | $5 - $9 | 51% |
| Other Non Contracted Senior Hmo | $5 - $10 | 51% |
| Other Non Contracted Work Comp | $5 - $12 | 51% |
| Pacific Alliance Medical Center Reciprocal Contract | $5 - $10 | 51% |
| Preferred Health Network | $5 - $11 | 51% |
| San Miguel Health Plan | $5 - $11 | 51% |
| Scan Health Plan | $5 - $10 | 51% |
| Self-Pay | $5 - $10 | 51% |
| State Of California | $5 - $9 | 51% |
| Veterans Administration | $5 - $7 | 51% |
| Chinatown Service Center Pace | $6 - $11 | 62% |
| Cigna | $11 | 113% |
| In Custody-Ca Highway Patrol | $20 | 206% |