CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Mercy Hospital Waldron

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $22
  • Cash Discount Price: $51
  • vs. Medicare Baseline: 5.60x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Mercy Hospital Waldron is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $51. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 5.60x the Medicare baseline. Located in 1341 West Sixth Street, Waldron, AR.
Cash / Self-Pay
$51

Average discount available for prompt cash payment at this facility.

Insurance Median
$22

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$3.93

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3.93 (100%)
Cash / Self-Pay: $51 (1298%)
Insurance Median: $22 (560%)
Cash: $51 (1298% of Medicare)
Ins. Median: $22 (560% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $3.93 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 560% of the Medicare baseline (a markup of 460%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $4 - $51 102%
Humana $4 - $66 102%
Medicaid / KanCare $4 - $30 102%
United Medical Resources Contracted [320454] $4 102%
UnitedHealthcare $4 - $21 102%
Blue Cross Blue Shield $6 - $21 153%
Summit Community Care Contracted [320368] $6 153%
Usable Contracted [320409] $6 153%
Novasys Contracted [320285] $9 - $30 229%
Arkansas Total Care Contracted [320039] $13 331%
Qual Choice Contracted [320324] $17 433%
American Health Advantage Of Mo Mcr [20264] $21 534%
Cherokee Nation Health Serv Contracted [320066] $21 534%
Cross Timbers Hospice [20098] $21 534%
Dept Of Veteran Affairs Contracted [320106] $21 534%
Elara Caring Aspire Hospice Contracted [320433] $21 534%
Elara Caring Aspire Hospice [20433] $21 534%
Globalhealth Contracted [320145] $21 534%
Halo Hcr Inc Hospice Contracted [320432] $21 534%
Halo Hcr Inc Hospice [20432] $21 534%
Independent Health [20197] $21 534%
Indian Health Service Contracted [320198] $21 534%
Indian Health Service [20198] $21 534%
Jordan Valley Senior Care Pace [20515] $21 534%
Kindful Hospice Contracted [320434] $21 534%
Kindful Hospice [20434] $21 534%
Medical Associates Health [20444] $21 534%
Medicare (plans) $21 - $22 534%
Mercy Hospice Okc [20252] $21 534%
Pace Of The Ozarks [20518] $21 534%
Provider Partners Health Plans Contracted [320450] $21 534%
Qual Choice Contracted [320325] $21 534%
Spina Bifida Hlthcare Benefit [20506] $21 534%
Tricare $21 534%
Valir Pace [20503] $21 534%
Cigna $22 - $66 560%
Ambetter / Centene $30 763%
Home State Health Plan Contracted [320187] $30 763%
Mercy Interfacility [20513] $35 891%
Auxiant Contracted [320462] $47 - $70 1196%
Mercy Benefit Admin Contracted [320251] $47 - $70 1196%
Workers Comp [20426] $51 1298%
90 Degree Benefits Contracted [320436] $66 1679%
Aither Health Contracted [320449] $66 1679%
Ebms Contracted [320493] $66 1679%
Edison Health Solutions Contracted [320502] $66 1679%
Healthlink Contracted [320179] $66 - $70 1679%
Imagine 360 Contracted [320494] $66 1679%
Multiplan Contracted [320270] $66 1679%
Multiplan [20270] $66 1679%
Municipal Health Plan Contracted [320271] $66 1679%
Reflect Health Contracted [320492] $66 1679%
Show-Me Health Administrators Contracted [320483] $66 1679%
Federal Medical Center Contracted [320127] $70 1781%
Healthscope Contracted [320182] $70 1781%
Insurance System Inc Contracted [320465] $70 1781%
Personify Health Contracted [320051] $70 1781%
Point C Contracted [320238] $70 1781%
Preferred Health Plan Contracted [320522] $70 1781%
Tri State Healthcare Coalition Contracted [320379] $70 1781%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1341 West Sixth Street, Waldron, AR 72958
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals