CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Nemours Childrens Hospital, Florida

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82947
Insurance Median: $48
Cash Discount Price: $120
vs. Medicare Baseline: 12.21x Medicare

The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Nemours Childrens Hospital, Florida is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $120. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 12.21x the Medicare baseline. Located in 6535 Nemours Pkwy, Orlando, FL.

Cash / Self-Pay

$120

Average discount available for prompt cash payment at this facility.

Insurance Median

$48

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: $120 (3053%)

Insurance Median: $48 (1221%)

Cash: $120 (3053% of Medicare)

Ins. Median: $48 (1221% 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 1221% of the Medicare baseline (a markup of 1121%). 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
Tricare	$4	102%
UnitedHealthcare	$4	102%
Cigna	$5 - $69	127%
Avmed	$21 - $53	534%
Truli	$21 - $68	534%
Florida Blue	$23 - $104	585%
Employers Health Network Fl	$27 - $68	687%
Aetna	$30 - $75	763%
Evolutions Healthcare	$31 - $77	789%
Integra Administrative Group	$41 - $103	1043%
Global Medical Management	$44 - $111	1120%
Prime Health Services	$44 - $111	1120%
Star Healthcare Network	$44 - $111	1120%
Velocity	$51 - $128	1298%
First Health Network	$53 - $133	1349%
Pnoa	$54 - $137	1374%
Seminole Tribe Of Fl	$54 - $137	1374%
Private Healthcare Systems	$63 - $157	1603%

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 $120.
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 Nemours Childrens Hospital, Florida 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.