CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Shriners Hospitals for Children Northern Calif

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $11
Cash Discount Price: $91
vs. Medicare Baseline: 1.13x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Shriners Hospitals for Children Northern Calif is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $91. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.13x the Medicare baseline. Located in 2425 Stockton Boulevard, Sacramento, CA.

Cash / Self-Pay

$91

Average discount available for prompt cash payment at this facility.

Insurance Median

$11

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: $91 (937%)

Insurance Median: $11 (113%)

Cash: $91 (937% of Medicare)

Ins. Median: $11 (113% 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.

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
Amerigroup Nv	$6	62%
Ambetter / Centene	$7 - $18	72%
Gateway Health Plan	$7	72%
Health Plan Of Nv	$7	72%
Aetna	$9 - $12	93%
Amerigroup Tx	$9	93%
Blue Cross Blue Shield	$9 - $14	93%
Soonercare	$9	93%
Coventry Cares Ky	$10	103%
Humana	$10	103%
Medicaid / KanCare	$10	103%
Molina Healthcare Of Ky	$10	103%
Molina Healthcare Of Ms	$10	103%
UnitedHealthcare	$10 - $14	103%
Amerihealth Caritas Nc	$11 - $18	113%
Amerihealth Caritas Sc	$11	113%
Caresource Of Oh	$11	113%
Cigna	$11	113%
Providence Health Plan	$11	113%
Caresource Of Ga	$12	124%
Central California Alliance For Health	$12	124%
Health Plan Of San Joaquin	$12	124%
Healthchoice Of Oklahoma	$12	124%
Kaiser Permanente	$12 - $100	124%
Molina Healthcare Of Ca	$12	124%
Partnership Healthplan Of Ca	$12	124%
Wellcare Of Ga	$12	124%
Sana Benefits	$14	144%
Dignity Health	$536	5520%

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 $91.
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 Shriners Hospitals for Children Northern Calif 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.