CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Adventist Health Bakersfield

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $67
  • Cash Discount Price: $24
  • vs. Medicare Baseline: 6.90x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Adventist Health Bakersfield is $67. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 6.90x the Medicare baseline. Located in 2615 Chester Avenue, Bakersfield, CA.
Cash / Self-Pay
$24

Average discount available for prompt cash payment at this facility.

Insurance Median
$67

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: $24 (247%)
Insurance Median: $67 (690%)
Cash: $24 (247% of Medicare)
Ins. Median: $67 (690% 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 690% of the Medicare baseline (a markup of 590%). 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
Bc Medi-Cal $3 31%
Blue Shield Epn $3 - $80 31%
Blue Shield Epo/Ppo $3 - $89 31%
Blue Shield Hmo/Pos - All Other Plans $3 - $89 31%
County Of Kern - All Plans $4 - $121 41%
Gem Care- All Plans $4 - $121 41%
Kern Legacy Hp Epo - All Other Plans $4 - $121 41%
Kern Legacy Share Select $4 - $121 41%
UnitedHealthcare $4 - $105 41%
Western Growers/Pinnacle- All Plans $4 - $119 41%
First Health/Coventry- All Plans $5 - $145 51%
Healthnet Hmo/Pos/Ppo/Epo - All Other Plans $6 - $180 62%
Interplan- All Plans $6 - $169 62%
Phcs- All Plans $6 - $157 62%
Affiliated Health Funds-All Plans $7 - $194 72%
Beech Street- All Plans $7 - $206 72%
Integrated Health Plan-All Plans $7 - $194 72%
Three Rivers Provider Network- All Plans $7 - $194 72%
Galaxy Health Network- All Plans $8 - $218 82%
Healthnet Mcal $9 - $13 93%
Kaiser Mcal Ip/Op Only $9 - $11 93%
Kern Health Systems Mcal $9 - $14 93%
Medi-Cal $9 - $11 93%
Blue Shield Mcr Adv $10 103%
Fhcn Pace Mcr Adv - All Plans $10 103%
Healthnet Mcr Adv $10 103%
Kaiser Mcr Adv Ip/Op Only $10 103%
Universal Health Plan Mcare-All Other Plans $10 103%
Amrcn Indian Hlth Proj Mcr Adv - All Plans $12 124%
Network Provdrs Llc Mcare -All Payers $13 134%
Oscar - All Plans $16 165%
Employee Health Plan - All Plans $17 175%
Kaiser Comm Hmo Ip/Op Only-All Other Plans $17 175%
Centivo - All Plans $22 227%
Cigna $36 371%
Aetna $59 608%
Blue Cross Blue Shield $83 - $92 855%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2615 Chester Avenue, Bakersfield, CA 93301
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals