Hemoglobin A1c (diabetes test) Cost by Hospital

Hemoglobin A1c (diabetes test) is a laboratory test. Prices are from 2401 US hospitals across 52 states, from their machine-readable files.

$63median cash price · 2401 hospitals, 52 statestypically $18–$181 depending on the hospital
≈ 6.5× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$109
Cash / self-pay
$63
Insurer-negotiated
$18
Medicare pays
$10
$18$181
Median cash $63  ·  Medicare $10  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

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%).

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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
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.

InsurerHospitalsNegotiated median
Tricare / VA 465
$10
$9 – $62
Medicare 605
$10
$10 – $37
Medicaid 391
$10
$7 – $27
Independent Health 53
$10
$8 – $10
UnitedHealthcare 1610
$10
$8 – $94
Amerigroup 179
$10
$8 – $41
Devoted Health 256
$10
$10 – $12
Molina Healthcare 600
$10
$7 – $30
Highmark 134
$10
$6 – $49
MVP Health Care 82
$10
$7 – $82
AmeriHealth 257
$10
$8 – $60
Geisinger 72
$11
$9 – $66
Humana 1143
$11
$10 – $108
Centene / Ambetter 859
$11
$9 – $74
UPMC Health Plan 107
$12
$8 – $68
Bright Health 67
$12
$10 – $19
Univera 16
$12
$8 – $14
Anthem 626
$12
$8 – $92
EmblemHealth 63
$13
$10 – $56
Kaiser Permanente 240
$14
$8 – $135
Oscar Health 224
$17
$10 – $39
UCare 73
$17
$10 – $70
Workers' Comp / No-Fault 155
$18
$13 – $173
Blue Cross Blue Shield 1394
$19
$9 – $105
SelectHealth 50
$22
$10 – $102
Priority Health 60
$24
$7 – $105
Health Net 330
$24
$8 – $192
Aetna 1499
$25
$10 – $127
Medica 249
$25
$10 – $100
Cigna 1261
$29
$10 – $144
AvMed 63
$30
$10 – $236
HealthPartners 282
$34
$10 – $123
Harvard Pilgrim 58
$38
$10 – $85
Sanford Health Plan 77
$40
$10 – $86
Security Health Plan 56
$49
$10 – $82
Coventry 168
$69
$10 – $155
MultiPlan / PHCS network 906
$77
$16 – $204
Healthcare Highways 51
$80
$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

StateMedian 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.

ClinicianSpecialtyLocationMedicare services
Adebowale Prest, MDFamily PracticeCambridge, MD28,162
Patricia Hansen, M.D.Internal MedicineLouisville, KY23,984
Gordana Katava, DOPathologyBerkeley Heights, NJ22,884
Thomas Arnau, M.D.Family PracticeCharleston, SC21,184
Elise Donnelly, M.D.Family PracticePhoenix, AZ17,409
Jon Keller, MDPathologyPalo Alto, CA16,456
Julie Bell, MDPathologyVero Beach, FL15,844
Danyel Mcevoy, MDPathologyN Charleston, SC15,829
Edmund Tai, M.D.Hematology-OncologyMountain View, CA8,245
Walter Henricks, M.D.PathologyCleveland, OH8,017
Susanne Carmack, M.D.PathologyOlympia, WA7,533
Eric Weiner, MDInternal MedicineBoynton Beach, FL7,322

Browse doctors by specialty & city →

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?
The median cash (self-pay) price across 2401 US hospitals is $63. Most hospitals fall between $18 and $181. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover Hemoglobin A1c (diabetes test)?
Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $10). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.
What does Medicare pay for Hemoglobin A1c (diabetes test)?
Medicare pays about $10. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Hemoglobin A1c (diabetes test) prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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