CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Grossmont Hospital

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82947
Insurance Median: $46
Cash Discount Price: $53
vs. Medicare Baseline: 11.70x Medicare

The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Grossmont Hospital is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $53. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 11.70x the Medicare baseline. Located in 5555 Grossmont Center Drive Box 58, La Mesa, CA.

Cash / Self-Pay

$53

Average discount available for prompt cash payment at this facility.

Insurance Median

$46

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: $53 (1349%)

Insurance Median: $46 (1170%)

Cash: $53 (1349% of Medicare)

Ins. Median: $46 (1170% 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 1170% of the Medicare baseline (a markup of 1070%). 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
Aetna	$1 - $261	25%
Blue Cross Blue Shield	$1 - $100,579	25%
Blue Shield	$1 - $63	25%
Health Net	$1 - $63	25%
Humana	$1 - $56	25%
Kaiser	$1 - $63	25%
Multiplan	$1 - $57	25%
San Diego Pace	$1 - $56	25%
Molina	$4 - $8,796	102%
Cigna	$20 - $454	509%
California Health And Wellness	$24 - $49	611%
Allianz Global Assistance	$28 - $52	712%
Indian Health Council	$28 - $42	712%
Medicare (plans)	$28 - $461	712%
Interplan	$29	738%
Community Health Group	$34 - $49	865%
UnitedHealthcare	$34 - $454	865%
Managed Health Network	$35 - $386	891%
Medi-Cal	$35 - $56	891%
County Medical Services	$38 - $386	967%
Epic Americas	$44 - $48	1120%

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 $53.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82947.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Grossmont Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82947.
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.