CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Northside Hospital

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $43
  • Cash Discount Price: $75
  • vs. Medicare Baseline: 10.94x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Northside Hospital is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $75. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 10.94x the Medicare baseline. Located in 1000 Johnson Ferry Road, Ne, Atlanta, GA.
Cash / Self-Pay
$75

Average discount available for prompt cash payment at this facility.

Insurance Median
$43

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: $75 (1908%)
Insurance Median: $43 (1094%)
Cash: $75 (1908% of Medicare)
Ins. Median: $43 (1094% 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 1094% of the Medicare baseline (a markup of 994%). 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
Fairly Group $3 76%
Aetna $4 - $20 102%
Bccp $4 102%
Blue Cross Blue Shield $4 - $70 102%
Caresource $4 - $37 102%
Cbww $4 102%
Champus Va $4 102%
Clear Springs Eon Health $4 102%
Clover Health $4 102%
Coventry $4 - $68 102%
Humana $4 102%
Kaiser $4 - $87 102%
Medicaid / KanCare $4 - $5 102%
Medicare (plans) $4 - $5 102%
Pruitt Health Premier $4 102%
Tricare $4 102%
UnitedHealthcare $4 - $16 102%
Va Ccn $4 102%
Wellcare $4 102%
Ambetter / Centene $5 - $20 127%
Us Dept Of Labor Wc $5 127%
Amerigroup $6 - $16 153%
Oscar $6 153%
Cigna $16 - $63 407%
Northside Health Network $30 763%
Georgia Reproductive Specialists $40 1018%
Medlien Healthcare Services $40 1018%
Med Care Solutions $45 1145%
Health One Alliance_Ppo $55 1399%
Quick Trip $55 1399%
Novanet_Ppo $70 1781%
Phcs $75 1908%
Beech Steet $85 2163%
Multiplan $85 2163%
Multiplan Workers Comp $85 2163%
Careiq $100 2545%
Dekalb_Department Of Health $100 2545%
Fifa $100 2545%
Institutional Marietta Surgery Center $100 2545%
Institutional Veterans Evaluation Services $100 2545%
Rabun County Boc $100 2545%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Johnson Ferry Road, Ne, Atlanta, GA 30342
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals