CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Atrium Health Navicent the Medical Center

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $15
  • Cash Discount Price: $55
  • vs. Medicare Baseline: 3.82x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Atrium Health Navicent the Medical Center is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $55. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 3.82x the Medicare baseline. Located in 777 Hemlock Street, Macon, GA.
Cash / Self-Pay
$55

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $55 (1399%)
Insurance Median: $15 (382%)
Cash: $55 (1399% of Medicare)
Ins. Median: $15 (382% 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 382% of the Medicare baseline (a markup of 282%). 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
UnitedHealthcare $2 - $29 51%
Aetna $4 - $76 102%
Alliant $4 - $5 102%
Blue Cross Blue Shield $4 - $5 102%
Care Source $4 102%
Clover $4 102%
Eon Health $4 102%
Georgia Health Advantage $4 102%
Humana $4 - $75 102%
Kaiser $4 - $14 102%
Pruitt Health $4 102%
Cigna $5 - $11 127%
Securehealth $11 - $38 280%
Ambetter / Centene $33 - $56 840%
Multiplan $71 - $87 1807%
Ibg $77 1959%
Novanet $87 2214%
Three Rivers Provider Network $93 2366%
Beechstreet $101 2570%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 777 Hemlock Street, Macon, GA 31201
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals