Hemoglobin A1c (diabetes test) is a laboratory test. Prices are from 2401 US hospitals across 52 states, from their machine-readable files.
Price comparison (median)
Typical cash price here is $63 — about 6.5× the Medicare rate ($10). High vs Medicare. A fair cash price is usually within ~2× Medicare ($19).
💡 Asking for the cash price instead of the $109 list price could save about $46 (42%).
Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| The Women's Hospital | Newburgh, IN | $9 | $10 | ★ 5/5 | 128 min | — |
| Arizona Spine and Joint Hospital | Mesa, AZ | $10 | $9 | — | — | 14.8% |
| St Joseph's Medical Center | Yonkers, NY | $10 | $10 | ★ 1/5 | 202 min | 15.2% |
| Sisters of Charity Hospital | Buffalo, NY | $10 | $10 | ★ 3/5 | 197 min | 15.3% |
| Mount St. Mary's Hospital & Health Center | Lewiston, NY | $10 | $10 | ★ 2/5 | 163 min | 15.3% |
| Mercy Hospital of Buffalo | Buffalo, NY | $10 | $10 | ★ 2/5 | 309 min | 14.8% |
| Firelands Regional Medical Center | Sandusky, OH | $10 | — | ★ 4/5 | 174 min | 15.0% |
| Advanced Surgical Hospital | Washington, PA | $10 | $11 | — | — | 14.5% |
| Sterling Regional Medcenter | Sterling, CO | $10 | $25 | ★ 3/5 | 99 min | 15.0% |
| Howard Memorial Hospital | Nashville, AR | $10 | $25 | ★ 3/5 | 106 min | 15.4% |
| Hendricks Community Hospital | Hendricks, MN | $10 | — | — | 111 min | — |
| Regions Hospital | Saint Paul, MN | $10 | $10 | ★ 3/5 | 226 min | 14.1% |
| Natchitoches Regional Medical Center | Natchitoches, LA | $10 | $10 | ★ 4/5 | 160 min | 15.4% |
| Newark Beth Israel Medical Center | Newark, NJ | $11 | $5 | ★ 2/5 | 169 min | 14.9% |
| Clara Maass Medical Center | Belleville, NJ | $11 | $5 | ★ 3/5 | 138 min | 16.1% |
| Robert Wood Johnson University Hospital at Rahway | Rahway, NJ | $11 | $5 | ★ 4/5 | 110 min | 14.9% |
| Trinitas Regional Medical Center | Elizabeth, NJ | $11 | $5 | ★ 3/5 | 203 min | 14.3% |
| Robert Wood Johnson University Hospital | New Brunswick, NJ | $11 | $5 | ★ 2/5 | 197 min | 15.5% |
| Community Medical Center | Toms River, NJ | $11 | $5 | ★ 1/5 | 182 min | 15.7% |
| Robert Wood Johnson University Hospital-Somerset | Somerville, NJ | $11 | $5 | ★ 3/5 | 184 min | 14.6% |
| Jersey City Medical Center | Jersey City, NJ | $11 | $5 | ★ 3/5 | 190 min | 16.1% |
| Monmouth Medical Center | Long Branch, NJ | $11 | $5 | ★ 3/5 | 129 min | 16.2% |
| Cooperman Barnabas Medical Center | Livingston, NJ | $11 | $5 | ★ 3/5 | 120 min | 15.9% |
| Monmouth Medical Center-Southern Campus | Lakewood, NJ | $11 | $5 | ★ 3/5 | 146 min | 16.1% |
| Robert Wood Johnson University Hospital at Hamilton | Hamilton, NJ | $11 | $5 | ★ 4/5 | 174 min | 15.6% |
CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated July 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.
What insurers pay for Hemoglobin A1c (diabetes test)
Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $63; Medicare pays $10.
| Insurer | Hospitals | Negotiated median |
|---|---|---|
| Tricare / VA | 465 |
$9 – $62 |
| Medicare | 605 |
$10 – $37 |
| Medicaid | 391 |
$7 – $27 |
| Independent Health | 53 |
$8 – $10 |
| UnitedHealthcare | 1610 |
$8 – $94 |
| Amerigroup | 179 |
$8 – $41 |
| Devoted Health | 256 |
$10 – $12 |
| Molina Healthcare | 600 |
$7 – $30 |
| Highmark | 134 |
$6 – $49 |
| MVP Health Care | 82 |
$7 – $82 |
| AmeriHealth | 257 |
$8 – $60 |
| Geisinger | 72 |
$9 – $66 |
| Humana | 1143 |
$10 – $108 |
| Centene / Ambetter | 859 |
$9 – $74 |
| UPMC Health Plan | 107 |
$8 – $68 |
| Bright Health | 67 |
$10 – $19 |
| Univera | 16 |
$8 – $14 |
| Anthem | 626 |
$8 – $92 |
| EmblemHealth | 63 |
$10 – $56 |
| Kaiser Permanente | 240 |
$8 – $135 |
| Oscar Health | 224 |
$10 – $39 |
| UCare | 73 |
$10 – $70 |
| Workers' Comp / No-Fault | 155 |
$13 – $173 |
| Blue Cross Blue Shield | 1394 |
$9 – $105 |
| SelectHealth | 50 |
$10 – $102 |
| Priority Health | 60 |
$7 – $105 |
| Health Net | 330 |
$8 – $192 |
| Aetna | 1499 |
$10 – $127 |
| Medica | 249 |
$10 – $100 |
| Cigna | 1261 |
$10 – $144 |
| AvMed | 63 |
$10 – $236 |
| HealthPartners | 282 |
$10 – $123 |
| Harvard Pilgrim | 58 |
$10 – $85 |
| Sanford Health Plan | 77 |
$10 – $86 |
| Security Health Plan | 56 |
$10 – $82 |
| Coventry | 168 |
$10 – $155 |
| MultiPlan / PHCS network | 906 |
$16 – $204 |
| Healthcare Highways | 51 |
$14 – $197 |
Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.
Where it’s cheapest
| State | Median cash |
|---|---|
| New Jersey | $25 |
| New York | $34 |
| Arizona | $35 |
| Arkansas | $37 |
| Tennessee | $37 |
| Mississippi | $38 |
Prices by city
Prices by state
Doctors who perform this
Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.
| Clinician | Specialty | Location | Medicare services |
|---|---|---|---|
| Adebowale Prest, MD | Family Practice | Cambridge, MD | 28,162 |
| Patricia Hansen, M.D. | Internal Medicine | Louisville, KY | 23,984 |
| Gordana Katava, DO | Pathology | Berkeley Heights, NJ | 22,884 |
| Thomas Arnau, M.D. | Family Practice | Charleston, SC | 21,184 |
| Elise Donnelly, M.D. | Family Practice | Phoenix, AZ | 17,409 |
| Jon Keller, MD | Pathology | Palo Alto, CA | 16,456 |
| Julie Bell, MD | Pathology | Vero Beach, FL | 15,844 |
| Danyel Mcevoy, MD | Pathology | N Charleston, SC | 15,829 |
| Edmund Tai, M.D. | Hematology-Oncology | Mountain View, CA | 8,245 |
| Walter Henricks, M.D. | Pathology | Cleveland, OH | 8,017 |
| Susanne Carmack, M.D. | Pathology | Olympia, WA | 7,533 |
| Eric Weiner, MD | Internal Medicine | Boynton Beach, FL | 7,322 |
Does Medicare cover Hemoglobin A1c (diabetes test)?
Yes — Medicare generally covers Hemoglobin A1c (diabetes test). It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $10. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $2 — unless a Medicare Advantage or supplemental (Medigap) plan covers it.
General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.
About these prices
Based on prices published by 2401 US hospitals across 52 states, the typical (median) cash price is $63, versus a chargemaster (list) price around $109, a median insurer-negotiated rate of $18, a Medicare rate of about $10. Most cash prices fall between $18 and $181 — a wide spread, which is exactly why comparing hospitals pays off.
How to save
- Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
- Compare several nearby hospitals; prices for the same service can differ severalfold.
- Request a written estimate and the billing code (CPT/DRG) before scheduling.
- Use the Medicare benchmark above to judge whether a quote is reasonable.
- If you are uninsured, ask about financial assistance or prompt-pay discounts.
Frequently asked questions
How much does Hemoglobin A1c (diabetes test) cost without insurance?
Does Medicare cover Hemoglobin A1c (diabetes test)?
What does Medicare pay for Hemoglobin A1c (diabetes test)?
Why do Hemoglobin A1c (diabetes test) prices vary between hospitals?
Is the cash price lower than using insurance?
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