CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Adventist Health Tehachapi Valley

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $14
  • Cash Discount Price: $16
  • vs. Medicare Baseline: 1.44x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Adventist Health Tehachapi Valley is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.44x the Medicare baseline. Located in 1100 Magellan, Tehachapi, CA.
Cash / Self-Pay
$16

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: $16 (165%)
Insurance Median: $14 (144%)
Cash: $16 (165% 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 Mcare $2 - $48 21%
Medicare (plans) $2 - $48 21%
Network Providers- All Plans $2 - $61 21%
Tricare $2 - $48 21%
Universal Ipa Mcr Adv Op/Profee Only-All Other Pla $2 - $48 21%
Kaiser Ip/Op Only- All Other Plans $3 - $82 31%
Blue Cross Blue Shield $4 - $145 41%
Blue Shield Epn- All Other Plans $4 - $106 41%
Blue Shield Non-Epn $4 - $126 41%
Centivo - All Plans $4 - $107 41%
Klhp-Kern Legacy Epo -All Other Plans $4 - $126 41%
UnitedHealthcare $4 - $123 41%
Western Grwrs/Pinnacle - All Plans $4 - $105 41%
Ah Employee Health Plan - All Plans $5 - $133 51%
Cigna $7 - $196 72%
Healthnet- All Other Plans $7 - $193 72%
Coventry- All Plans $8 - $226 82%
Bc Mcal $9 - $11 93%
Healthnet Medi-Cal $9 - $14 93%
Kaiser Medi-Cal Ip/Op Only $9 - $11 93%
Khs-Kern Hlth Systm Mcal $9 - $14 93%
Medi-Cal $9 - $11 93%
Universal Ipa Mcal Op/Profee Only $9 - $11 93%
Oscar Health Plan- All Plans $11 - $16 113%
Aetna $13 - $57 134%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 Magellan, Tehachapi, CA 93561
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals