CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Loma Linda University Children's Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $52
Cash Discount Price: $37
vs. Medicare Baseline: 5.36x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Loma Linda University Children's Hospital is $52. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $37. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 5.36x the Medicare baseline. Located in 11234 Anderson Street Suite A, Loma Linda, CA.

Cash / Self-Pay

$37

Average discount available for prompt cash payment at this facility.

Insurance Median

$52

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: $37 (381%)

Insurance Median: $52 (536%)

Cash: $37 (381% of Medicare)

Ins. Median: $52 (536% 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 536% of the Medicare baseline (a markup of 436%). 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
UnitedHealthcare	$8	82%
Alpha Care Medical Group	$10 - $15	103%
Dignity Health	$10 - $15	103%
Epic Health Plan	$10 - $94	103%
Inland Empire Health Plan (Iehp)	$10 - $14	103%
Kaiser Foundation Hospitals	$10 - $157	103%
Upland Medical Group	$10	103%
Vantage Medical Group	$10 - $15	103%
Molina Healthcare Of Ca	$12 - $13	124%
Adventist Health	$16 - $47	165%
Heritage Provider Network	$16	165%
Lluh Dept Of Risk Management	$19 - $56	196%
Blue Shield Of California	$35 - $157	360%
Global Benefits Group	$48 - $141	494%
Temecula Valley Physicians Medical Group	$48 - $141	494%
Trivalley Medical Group	$48 - $141	494%
Cigna	$51 - $174	525%
Aetna	$52 - $154	536%
Networks By Design	$52 - $153	536%
Multiplan	$64 - $188	659%
Galaxy Health	$68 - $200	700%
Prime Health Services	$68 - $200	700%
Blue Cross Blue Shield	$96	989%

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 $37.
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 Loma Linda University Children's 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.