CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Kapiolani Medical Center for Women & Children

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $29
  • Cash Discount Price: $48
  • vs. Medicare Baseline: 2.99x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Kapiolani Medical Center for Women & Children is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $48. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 2.99x the Medicare baseline. Located in 1319 Punahou Street, Honolulu, HI.
Cash / Self-Pay
$48

Average discount available for prompt cash payment at this facility.

Insurance Median
$29

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: $48 (494%)
Insurance Median: $29 (299%)
Cash: $48 (494% of Medicare)
Ins. Median: $29 (299% 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 299% of the Medicare baseline (a markup of 199%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Alohacare $10 - $11 103%
Devoted $10 103%
Hmsa $10 - $21 103%
Kaiser $10 - $75 103%
Mdx $10 - $11 103%
Ohana $11 - $25 113%
Uha $18 - $42 185%
Hcha $19 196%
UnitedHealthcare $20 206%
Pac Admin $22 227%
Hwmg/Hmaa $25 257%
Mimoh $25 - $64 257%
Calvos $27 - $64 278%
Multiplan $29 - $72 299%
Verdegard $29 - $68 299%
Mccp $31 - $72 319%
Coventry $32 - $76 330%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1319 Punahou Street, Honolulu, HI 96826
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens