CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Adventist Health Tulare

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $17
  • Cash Discount Price: $42
  • vs. Medicare Baseline: 1.75x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Adventist Health Tulare is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $42. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.75x the Medicare baseline. Located in 869 North Cherry Street, Tulare, CA.
Cash / Self-Pay
$42

Average discount available for prompt cash payment at this facility.

Insurance Median
$17

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: $42 (433%)
Insurance Median: $17 (175%)
Cash: $42 (433% of Medicare)
Ins. Median: $17 (175% 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
Blue Cross Blue Shield $3 - $99 31%
Blue Shield Epn $3 - $79 31%
Blue Shield-All Other Plans $4 - $109 41%
Cigna $4 - $115 41%
Western Growers - All Plans $4 - $115 41%
Hs Interplan-All Plans $6 - $167 62%
Network By Design-All Plans $6 - $162 62%
UnitedHealthcare $6 - $180 62%
Multiplan - All Plans $7 - $212 72%
Ccipa Medi-Cal - All Plans $9 - $14 93%
Dignity Mcal Op Only $9 - $12 93%
Healthnet Medi-Cal $9 - $15 93%
Independence Op Only - All Plans $9 - $12 93%
Medi-Cal $9 - $11 93%
Blue Shield Mcare $10 103%
Dignity Mcr Op Only - All Other Plans $10 103%
Fhcn Pace Mcr Adv - All Plans $10 103%
Medicare (plans) $10 103%
Prime Health - All Plans $10 103%
Tricare $10 103%
Prison Hlthcre - All Plans $12 124%
Cal Forensic Med Grp - All Plans $13 134%
Bright Health - All Plans $14 144%
Ah Employee Health Plan - All Plans $17 175%
Incentive Hlth - All Plans $17 175%
Healthnet Hmo/Ppo - All Other Plans $26 268%
Aetna $84 865%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 869 North Cherry Street, Tulare, CA 93274
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals