CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Sonoma Valley Hospital

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $29
  • Cash Discount Price: $100
  • vs. Medicare Baseline: 7.38x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Sonoma Valley Hospital is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $100. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 7.38x the Medicare baseline. Located in 347 Andrieux St, Sonoma, CA.
Cash / Self-Pay
$100

Average discount available for prompt cash payment at this facility.

Insurance Median
$29

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: $100 (2545%)
Insurance Median: $29 (738%)
Cash: $100 (2545% of Medicare)
Ins. Median: $29 (738% 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 738% of the Medicare baseline (a markup of 638%). 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
Blue Cross Blue Shield $4 - $143 102%
Bright Hlth/Brand New Day Mcr Adv $4 102%
Hospice Of Marin-All Plans $4 102%
Marin General Comm/Mcr Adv (Western Hlth)-All Plan $4 102%
Medi-Cal $4 102%
Partnership Healthplan-All Plans $4 102%
St Joseph Heritage Hltcare Comm-All Other Plans $4 102%
Tricare $4 102%
Veterans Admin-All Plans $4 102%
Bright Hlth/Brand New Day - All Other Plands $5 127%
Cdcr Prison-All Plans $5 127%
Chp - Correctional Health Partners - All Plans $5 127%
Three Rivers (Trpn)-All Plans $5 127%
Aetna $6 153%
First Health(Coventry)-All Plans $6 153%
Meritage Medical Network Op Only Mcare $6 153%
Meritage Medical Network Op Only-All Other Plans $6 153%
Wellpath - All Plans $6 153%
Canopy Bay Area Accountable Care Ntwrk (Baacn) - A $7 178%
Canopy Health Solutions-All Other Plans $7 178%
Mcal Mgd Care (Php)-All Plans $7 178%
UnitedHealthcare $8 204%
Healthnet Hmo/Ppo-All Other Plans $50 1272%
Blue Shield Ppo-All Plans $81 2061%
Kaiser-All Plans $93 2366%
Integrated Health Plan-All Plans $106 2697%
Champus-All Plans $114 2901%
Cigna $114 2901%
Networks By Design - All Plans $114 2901%
Comm Care Network(Ccn)-All Plans $122 3104%
Great West-One Health Plan Ppo/Pos-All Plans $122 3104%
Phcs/Multiplan/Beech St-All Plans $122 3104%
Interplan-All Plans $126 3206%
Bps-All Plans $129 3282%
Ppo Alliance-All Plans $129 3282%
Pref Health Networl(Phn)-All Plans $129 3282%
Scan Mcare-All Plans $143 3639%
St Joseph Heritage Hltcare Mcr Adv $143 3639%
Correct Care Integ Health-All Plans $172 4377%
Employer Direct Healthcare-All Plans $172 4377%
Creative Legal Services-All Plans $186 4733%
Canopy Op Only $257 6539%
Vnpn - All Plans $257 6539%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 347 Andrieux St, Sonoma, CA 95476
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals