CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Children's Healthcare of Atlanta at Scottish Rite

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82947
Insurance Median: $89
Cash Discount Price: $130
vs. Medicare Baseline: 22.65x Medicare

The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Children's Healthcare of Atlanta at Scottish Rite is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $130. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 22.65x the Medicare baseline. Located in 1001 Johnson Ferry Road, Atlanta, GA.

Cash / Self-Pay

$130

Average discount available for prompt cash payment at this facility.

Insurance Median

$89

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: $130 (3308%)

Insurance Median: $89 (2265%)

Cash: $130 (3308% of Medicare)

Ins. Median: $89 (2265% 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 2265% of the Medicare baseline (a markup of 2165%). 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
Amerigroup [102]	$6	153%
Caresource [61]	$6	153%
Peachstate [43]	$6	153%
Cigna	$28 - $116	712%
Aetna	$29 - $118	738%
Ambetter / Centene	$29 - $118	738%
Blue Cross Blue Shield	$29 - $172	738%
Caresource Marketplace Bronze/Silver/Gold [60]	$29 - $120	738%
Kaiser [6]	$29 - $120	738%
Oscar [228]	$29 - $118	738%
United [5]	$29 - $117	738%
Coventry [9]	$30 - $124	763%
Direct Employer Agreements [72]	$30 - $150	763%
Sidecar Health [236]	$30 - $121	763%
First Health [74]	$32 - $132	814%
Northeast Georgia Heatlh System [808]	$32 - $132	814%
Veracity Benefits [809]	$32 - $132	814%
Phcs [93]	$37 - $150	941%
Secure Health [340]	$37 - $150	941%
Beech Street [71]	$39 - $158	992%
Multiplan [92]	$42 - $172	1069%
Novanet [41]	$43 - $176	1094%

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 $130.
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 Children's Healthcare of Atlanta at Scottish Rite 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.