CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Adventist Health Lodi Memorial

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $12
  • Cash Discount Price: $8
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Adventist Health Lodi Memorial is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.24x the Medicare baseline. Located in 975 S Fairmont Avenue, Lodi, CA.
Cash / Self-Pay
$8

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $8 (82%)
Insurance Median: $12 (124%)
Cash: $8 (82% of Medicare)
Ins. Median: $12 (124% 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
Medcore(Omni Ipa) Op Only- All Plans $2 - $317 21%
Blue Shield Epn - All Other Plans $3 - $395 31%
Blue Shield Non-Epn $3 - $410 31%
Bc Mcal $4 - $9 41%
Healthnet- All Other Plans $4 - $599 41%
Kaiser Commercial - All Other Plans $4 - $500 41%
Networks By Design- All Plans $4 - $610 41%
UnitedHealthcare $4 - $506 41%
Western Growers- All Plans $4 - $1,098 41%
Cigna $7 - $1,098 72%
First Health- All Plans $7 - $1,000 72%
Multiplan- All Plans $7 - $976 72%
Beech Street- All Plans $8 - $1,098 82%
Hp Of San Joaquin Ppo - All Other Plans $8 - $1,159 82%
Three Rivers Provider Network- All Plans $8 - $1,098 82%
Celtic Ins Company - All Plans $9 - $12 93%
Healthnet Mcal $9 - $16 93%
Hp Mcal Pro Fee $9 93%
Hp Of San Joaquin Mcal $9 - $14 93%
Kaiser Mcal $9 - $11 93%
Medi-Cal $9 - $11 93%
Alignment Health Plan (Ahp)-All Plans $10 103%
Blue Shield Mcare Adv $10 103%
Cca Health Plan Mcr Adv- All Plans $10 103%
Healthnet Mcare $10 103%
Hp Healthy Kids Pro Fee $10 103%
Hp Of San Joaquin Mcr Adv $10 103%
Humana $10 103%
Kaiser Mcr Adv $10 - $13 103%
Knnex Health - All Plans $10 - $12 103%
Tricare $10 103%
Ah Employee Health Plan - All Plans $11 - $17 113%
Aetna $12 - $32 124%
Bright Health - All Plans $19 196%
Blue Cross Blue Shield $22 - $107 227%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 975 S Fairmont Avenue, Lodi, CA 95240
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals