CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Kohala Hospital

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $18
  • Cash Discount Price: $30
  • vs. Medicare Baseline: 4.58x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Kohala Hospital is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $30. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 4.58x the Medicare baseline. Located in 54-383 Hospital Road, Kapaau, HI.
Cash / Self-Pay
$30

Average discount available for prompt cash payment at this facility.

Insurance Median
$18

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: $30 (763%)
Insurance Median: $18 (458%)
Cash: $30 (763% of Medicare)
Ins. Median: $18 (458% 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 458% of the Medicare baseline (a markup of 358%). 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
Alohacare $4 102%
Hmsa $4 - $7 102%
Humana $4 102%
Kaiser $4 - $56 102%
Ohana $4 102%
UnitedHealthcare $4 - $5 102%
Uha $9 229%
Hma $10 254%
Hmaa $11 280%
Dmba $25 - $50 636%
Mdx $30 - $60 763%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 54-383 Hospital Road, Kapaau, HI 96755
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - State
  • Hospital Type: Critical Access Hospitals