CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Mercyone Clinton Medical Center

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $77
  • Cash Discount Price: $57
  • vs. Medicare Baseline: 19.59x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Mercyone Clinton Medical Center is $77. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $57. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 19.59x the Medicare baseline. Located in 1410 North 4Th Street, Clinton, IA.
Cash / Self-Pay
$57

Average discount available for prompt cash payment at this facility.

Insurance Median
$77

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: $57 (1450%)
Insurance Median: $77 (1959%)
Cash: $57 (1450% of Medicare)
Ins. Median: $77 (1959% 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 1959% of the Medicare baseline (a markup of 1859%). 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
Aetna $4 - $77 102%
Blue Cross Blue Shield $4 102%
Geha $4 102%
Iowa Total Care $4 102%
Medicaid / KanCare $4 102%
Medicare (plans) $4 102%
UnitedHealthcare $4 - $88 102%
Amish Hospital Aid $5 127%
Oscar $5 127%
Ambetter / Centene $7 178%
Claimdoc $8 204%
Nova $8 204%
Health Choices $25 636%
Medical Associates $25 636%
Preferred Health Choice $25 636%
The Alliance $53 1349%
1199 National Benefit Fund $77 1959%
Allied Benefit Systems $77 1959%
Asr Health Benefits $77 1959%
Christian Brother Services $77 1959%
Coventry $77 1959%
First Health $77 1959%
Health Partners $77 1959%
Lucent Health $77 1959%
Luminare Health $77 1959%
Medical Mutual $77 1959%
Meritain $77 1959%
Trustmark Small Business Benefits $77 1959%
Webtpa $77 1959%
Auxiant $79 2010%
Cigna $79 2010%
Medica $79 2010%
Midlands $79 2010%
Midlands Choice $79 2010%
Multiplan $79 2010%
Qualcare $79 2010%
Usa Managed Care $84 2137%
Crime Victim Assistance $88 2239%
Iowa Dept Of Public Health $88 2239%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1410 North 4Th Street, Clinton, IA 52732
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals