CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Adventist Health Vallejo

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $10
  • Cash Discount Price: $23
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Adventist Health Vallejo is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.03x the Medicare baseline. Located in 525 Oregon St, Vallejo, CA.
Cash / Self-Pay
$23

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $23 (237%)
Insurance Median: $10 (103%)
Cash: $23 (237% of Medicare)
Ins. Median: $10 (103% 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 Shield Behav Hlth $4 - $133 41%
Blue Shield Epn $4 - $139 41%
Blue Shield Non-Epn-All Other Plans $4 - $137 41%
UnitedHealthcare $4 - $188 41%
Phcs-All Plans $5 - $162 51%
Western Growers-All Plans $5 - $156 51%
Beech Street-All Plans $6 - $221 62%
Choicecare-All Plans $6 - $206 62%
Interplan-All Plans $6 - $192 62%
Cigna $7 - $236 72%
Health Management Network-All Plans $7 - $251 72%
Kaiser-All Plans $7 - $248 72%
Galaxy Network-All Plans $8 - $266 82%
Three Rivers-All Plans $8 - $266 82%
Medi-Cal $9 - $11 93%
Va Medi-Cal $9 - $11 93%
Blue Shield Mcr Adv $10 103%
Medicare (plans) $10 103%
Napa County Mcal Child $10 103%
Tricare $10 103%
Va Mcr-All Other Plans $10 103%
Ah Employee Health Plan-All Plans $17 175%
Healthnet-All Plans $29 299%
Aetna $57 587%
Blue Cross Blue Shield $93 - $112 958%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 525 Oregon St, Vallejo, CA 94590
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Psychiatric