CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Adventist Health Castle

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82947
Insurance Median: $37
Cash Discount Price: $20
vs. Medicare Baseline: 9.41x Medicare

The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Adventist Health Castle is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 9.41x the Medicare baseline. Located in 640 Ulukahiki St, Kailua, HI.

Cash / Self-Pay

$20

Average discount available for prompt cash payment at this facility.

Insurance Median

$37

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: $20 (509%)

Insurance Median: $37 (941%)

Cash: $20 (509% of Medicare)

Ins. Median: $37 (941% 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 941% of the Medicare baseline (a markup of 841%). 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
Pacific Admin Ppo - All Plans	$2 - $6	51%
Uni Health Alliance - All Plans	$2 - $6	51%
Devoted Hlth Mcr Adv - All Plans	$4	102%
Kfh Mcr Adv	$4	102%
Medicare (plans)	$4	102%
Ohana Health Plan - All Plans	$4	102%
UnitedHealthcare	$5	127%
Multiplan Hmn - All Plans	$6	153%
Hmsa Hmo	$8	204%
Hmsa Ppo - All Other Plans	$8	204%
Alohacare Quest Mcaid - All Other Plans	$11 - $35	280%
Hwmg/Hmaa - All Plans	$34 - $103	865%
Health Alliance - All Plans	$37 - $112	941%
Mdx Hawaii Ppo - All Plans	$37 - $112	941%
Kfh - All Other Plans	$39 - $119	992%
First Health Ppo - All Plans	$43 - $132	1094%
Medicaid / KanCare	$46 - $140	1170%
State Of Hi Nonprofit - All Plans	$80 - $245	2036%

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 $20.
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 Adventist Health Castle 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.