CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Adventist Health Mendocino Coast

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $39
Cash Discount Price: $43
vs. Medicare Baseline: 4.02x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Adventist Health Mendocino Coast is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $43. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 4.02x the Medicare baseline. Located in 700 River Drive, Fort Bragg, CA.

Cash / Self-Pay

$43

Average discount available for prompt cash payment at this facility.

Insurance Median

$39

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: $43 (443%)

Insurance Median: $39 (402%)

Cash: $43 (443% of Medicare)

Ins. Median: $39 (402% 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 402% of the Medicare baseline (a markup of 302%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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 Shield Epn	$3 - $63	31%
Ah Employee Health Plan - All Plans	$4 - $86	41%
Tricare	$4 - $81	41%
UnitedHealthcare	$4 - $134	41%
Great West Hmo/Pos/Epo/Oa	$6 - $108	62%
Great West Ppo - All Other Plans	$6 - $116	62%
Healthnet - All Plans	$6 - $108	62%
Multiplan - All Plans	$6 - $116	62%
Blue Shield - All Other Plans	$7 - $127	72%
Cigna	$7 - $129	72%
Ahcc - All Plans	$8 - $149	82%
Beech Street - All Plans	$8 - $149	82%
Medi-Cal	$9 - $11	93%
Partnership Hp Mcal-All Plans	$9 - $33	93%
Blue Cross Blue Shield	$80 - $88	824%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $43.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 83036.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Adventist Health Mendocino Coast is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 83036.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.