CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Greater El Monte Community Hospital

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $20
  • Cash Discount Price: $102
  • vs. Medicare Baseline: 5.09x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Greater El Monte Community Hospital is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $102. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 5.09x the Medicare baseline. Located in 1701 Santa Anita Ave, South El Monte, CA.
Cash / Self-Pay
$102

Average discount available for prompt cash payment at this facility.

Insurance Median
$20

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: $102 (2595%)
Insurance Median: $20 (509%)
Cash: $102 (2595% of Medicare)
Ins. Median: $20 (509% 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 509% of the Medicare baseline (a markup of 409%). 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
Bella Vista Medical Group Ipa $1 - $54 25%
Employee Health Systems Medical Group $1 - $24 25%
Global Care Medical Group Ipa $1 - $54 25%
Ahmc Reciprocity Agreement $2 - $36 51%
Ahmc Reciprocity Agreement Senior/Commercial $2 - $36 51%
Allied Physicians Medical Group $2 - $36 51%
Alta Med Health Services Med Grp $2 - $30 51%
Blue Cross Blue Shield $2 - $60 51%
Good Samaritan Medical Practice Assoc $2 - $71 51%
Lincoln Hospital Medical Center $2 - $36 51%
Ahmc Healthcare Inc $3 76%
Aids Health Foundation $3 - $4 76%
Altamed Health Network $3 - $4 76%
Avanti $3 - $5 76%
Beverly Hospital $3 - $4 76%
Blue Shield Of California $3 - $60 76%
Brand New Day $3 - $5 76%
California Thoroughbred Horesmans Foundation $3 - $60 76%
Clinica Medica Familiar $3 - $60 76%
Emanate Health $3 - $5 76%
Health Net Foundation $3 - $77 76%
Healthy Way La $3 76%
La Care Health Plan $3 - $65 76%
Molina Healthcare Of California $3 - $46 76%
Other Non Contracted Medi-Cal Hmo $3 76%
State Of California $3 76%
Universal Care $3 - $83 76%
Veterans Administration $3 76%
Alignment Health Plan $4 102%
Allied Physicians $4 - $6 102%
Apa/Aco Inc $4 102%
Associated Hispanic Physicians $4 102%
Care 1St Health Plan $4 - $71 102%
Champus Foundation $4 102%
Cms $4 102%
Cost Containment Strategies $4 - $77 102%
Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P $4 102%
Easy Choice Health Plan $4 102%
Health Net Inc $4 - $84 102%
Hollywood Presbyterian Adv Med Mcal $4 102%
Hollywood Presbyterian Medpoint Mcal $4 102%
In Custody Police Dept $4 - $77 102%
Inter Valley Health Plan $4 102%
Intercomp $4 102%
Interplan $4 - $89 102%
La Care Covered Direct $4 102%
Molina Healthcare $4 102%
Other Non Contracted Senior Hmo $4 102%
Pacific Alliance Medical Center Reciprocal Contract $4 102%
Pacificare Of California $4 - $103 102%
Preferred Health Network $4 102%
San Miguel Health Plan $4 102%
Scan Health Plan $4 102%
Self-Pay $4 102%
UnitedHealthcare $4 - $102 102%
Ahmc Health Self-Insurance Epo $5 127%
Athens Administrators $5 127%
Caloptima $5 127%
Central Health Plan $5 - $83 127%
Chinatown Service Center Pace $5 127%
Cigna $5 127%
Community Care Network $5 - $95 127%
Knox-Keene Act $5 127%
Multiplan $5 - $101 127%
Other Non Contracted Work Comp $5 127%
Health Payors Organization $6 - $107 153%
Commercial Non Contract $7 - $119 178%
Medi-Cal Sub Acute $7 - $119 178%
Nuclear Medicine/Whmc $7 - $119 178%
One Legacy $7 - $119 178%
Care 1St Medi Cal Hmo Cap Exceptional Care $8 - $12 204%
Care First Health Plan $8 - $12 204%
In Custody-Ca Highway Patrol $20 509%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1701 Santa Anita Ave, South El Monte, CA 91733
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals