CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Lodi Community Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $33
Cash Discount Price: $41
vs. Medicare Baseline: 3.40x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Lodi Community Hospital is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $41. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 3.40x the Medicare baseline. Located in 225 Elyria Street, Lodi, OH.

Cash / Self-Pay

$41

Average discount available for prompt cash payment at this facility.

Insurance Median

$33

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: $41 (422%)

Insurance Median: $33 (340%)

Cash: $41 (422% of Medicare)

Ins. Median: $33 (340% 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 340% of the Medicare baseline (a markup of 240%). 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 Cross Blue Shield	$10 - $47	103%
UnitedHealthcare	$10 - $39	103%
Mmo	$13 - $34	134%
Buckeye	$14	144%
Caresource	$14	144%
Molina	$15	154%
United	$15 - $45	154%
Amerihealth	$16	165%
Humana	$19	196%
Oscar	$19 - $24	196%
Summacare	$19 - $39	196%
Aetna	$21 - $63	216%
The Health Plan	$25 - $50	257%
Amish Community Aid Plan	$28 - $32	288%
Ohcp	$31	319%
Aultcare	$32	330%
Omas	$32	330%
Ohio Healthy	$34	350%
Php	$38	391%
Phphi	$38	391%
Upmc	$38	391%
Cigna	$41	422%
Cc Ehp	$42	433%
Gms	$44	453%
Medical Benefit Corp	$44	453%
Consociate Health	$47	484%
Frontpath	$57	587%
Managed Care Services	$57	587%
Multiplan	$57	587%
Tertiary Care Network	$57	587%

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 $41.
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 Lodi Community Hospital 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.