CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Adventist Health and Rideout

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $39
  • Cash Discount Price: $15
  • vs. Medicare Baseline: 9.92x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Adventist Health and Rideout is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 9.92x the Medicare baseline. Located in 726 4Th St, Marysville, CA.
Cash / Self-Pay
$15

Average discount available for prompt cash payment at this facility.

Insurance Median
$39

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: $15 (382%)
Insurance Median: $39 (992%)
Cash: $15 (382% of Medicare)
Ins. Median: $39 (992% 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 992% of the Medicare baseline (a markup of 892%). 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
Bc Mcal $1 25%
Healthnet Mcal $2 - $25 51%
Blue Cross Blue Shield $4 - $96 102%
Kaiser Mcal $4 102%
Kaiser Mcr Adv $4 102%
Medi-Cal $4 102%
Partnership Hp Mcal -All Plans $4 102%
Tricare $4 102%
UnitedHealthcare $4 - $109 102%
Ca Health And Wellness- All Plans $6 153%
Celtic Mcaid-All Plans $6 153%
Ah Employee Health Plan - All Plans $7 178%
Healthnet Comm-All Other Plans $7 - $75 178%
Aetna $9 - $88 229%
Kaiser-All Other Plans $9 - $95 229%
Blue Shield Uc Care Members $10 - $100 254%
Cigna $10 - $107 254%
First Health-All Plans $11 - $109 280%
Interplan-All Plans $11 - $112 280%
Phcs-All Plans $11 - $110 280%
Blue Shield-All Other Plans $12 - $119 305%
Multiplan-All Plans $12 - $119 305%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 726 4Th St, Marysville, CA 95901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Federal
  • Hospital Type: Acute Care Hospitals