CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Piedmont Newnan Hospital, Inc

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82947
Insurance Median: $50
Cash Discount Price: $38
vs. Medicare Baseline: 12.72x Medicare

The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Piedmont Newnan Hospital, Inc is $50. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 12.72x the Medicare baseline. Located in 745 Poplar Road, Newnan, GA.

Cash / Self-Pay

$38

Average discount available for prompt cash payment at this facility.

Insurance Median

$50

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: $38 (967%)

Insurance Median: $50 (1272%)

Cash: $38 (967% of Medicare)

Ins. Median: $50 (1272% 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 1272% of the Medicare baseline (a markup of 1172%). 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
Medicaid / KanCare	$2 - $4	51%
UnitedHealthcare	$4	102%
Blue Cross Blue Shield	$5	127%
Cigna	$6 - $9	153%
Aetna	$13	331%
Alliant Health Plans Of Georgia [10952]	$14	356%
First Health [10303]	$86 - $91	2188%
Phcs [10601]	$86 - $91	2188%
Kaiser [10500]	$93 - $98	2366%
Novanet [10819]	$93 - $98	2366%
Multiplan [10600]	$105 - $111	2672%
Beechstreet [10800]	$115 - $121	2926%

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 $38.
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 Piedmont Newnan Hospital, Inc 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.