CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Adventist Health Reedley

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $14
  • Cash Discount Price: $23
  • vs. Medicare Baseline: 1.44x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Adventist Health Reedley is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.44x the Medicare baseline. Located in 372 W Cypress Ave, Reedley, CA.
Cash / Self-Pay
$23

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $23 (237%)
Insurance Median: $14 (144%)
Cash: $23 (237% of Medicare)
Ins. Median: $14 (144% 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.

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
Healthnet Medi-Cal $1 - $42 10%
Bc Mcal $3 - $9 31%
Blue Shield Epn - All Other Plans $4 - $123 41%
Blue Shield Non Epn $4 - $143 41%
Community Care Ipa Mcal-All Plans $4 - $14 41%
Healthnet- All Other Plans $4 - $121 41%
Kaiser - All Other Plans $4 - $140 41%
UnitedHealthcare $4 - $117 41%
Western Growers/Pinnacle- All Plans $4 - $128 41%
Cigna $6 - $181 62%
Physicians Med Group Op/Profee Only- All Plans $7 - $223 72%
Cal Viva Hlth Mcal - All Plans $9 - $11 93%
Central Ca Alliance Mcal Profee Only $9 93%
Dignity Mcal Op/Profee Only-All Other Plans $9 - $12 93%
Kern Health Systems Mcal-All Plans $9 - $11 93%
Medi-Cal $9 - $11 93%
Upn Mcal Profee Only-All Other Plans $9 93%
Blue Shield Mcare $10 103%
Dignity Mcr Adv Op/Profee Only $10 103%
Fhcn Pace Mcr Adv-All Plans $10 103%
Healthnet- Mcr Adv $10 103%
Kaiser Mcr Adv $10 - $13 103%
Lasalle Med Assoc Profee Only - All Plans $10 103%
Phs Prime Health Srvcs $10 103%
Tricare $10 103%
Upn Mcr Adv Profee Only $10 103%
Aetna $11 - $56 113%
Ah Employee Health Plan - All Plans $11 - $17 113%
Central Ca Alliance Ccs Profee Only $13 134%
Central Ca Alliance Comm Profee Only - All Other P $13 134%
Bright Health Mcr Adv - All Plans $15 154%
Central Ca Alliance Chdp Profee Only $17 175%
Blue Cross Blue Shield $22 - $124 227%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 372 W Cypress Ave, Reedley, CA 93654
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals