CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Mayers Memorial Hospital

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82947
Insurance Median: $20
Cash Discount Price: $48
vs. Medicare Baseline: 5.09x Medicare

The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Mayers Memorial Hospital is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $48. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 5.09x the Medicare baseline. Located in 43563 Hwy 299 East, Fall River Mills, CA.

Cash / Self-Pay

$48

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: $48 (1221%)

Insurance Median: $20 (509%)

Cash: $48 (1221% 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.

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
Medi-Cal	$4	102%
Partnership Hp-All Plans	$4	102%
Arcadian Health Services-All Plans	$13 - $50	331%
Blue Cross Blue Shield	$13 - $65	331%
Blue Shield Ca Va	$13 - $48	331%
Blue Shield Mcr Adv	$13 - $48	331%
Health Net Mcr Adv	$13 - $50	331%
Tricare	$13 - $50	331%
Health Net Prison	$14 - $55	356%
Imperial Health Plan-All Plans	$15 - $57	382%
Blue Shield Ca Exchange	$17 - $65	433%
Blue Shield-All Other Plans	$19 - $72	483%
Cigna	$19 - $72	483%
Corvel Ppo-All Plans	$19 - $72	483%
Coventry/First Health-All Plans	$19 - $72	483%
Hmn-All Plans	$19 - $72	483%
Integrated Hp-All Plans	$19 - $72	483%
Interplan-All Plans	$19 - $72	483%
Multiplan Phcs-All Plans	$19 - $72	483%
Pfmc-All Plans	$19 - $72	483%
Superior Ca-All Plans	$19 - $72	483%
Health Net-All Other Plans	$20 - $76	509%
Pacificare-All Plans	$20 - $76	509%

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 $48.
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 Mayers Memorial 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.