CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Madison County Health Care System

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $24
  • Cash Discount Price: $30
  • vs. Medicare Baseline: 6.11x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Madison County Health Care System is $24. 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 6.11x the Medicare baseline. Located in 300 West Hutchings Street, Winterset, IA.
Cash / Self-Pay
$30

Average discount available for prompt cash payment at this facility.

Insurance Median
$24

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: $24 (611%)
Cash: $30 (763% of Medicare)
Ins. Median: $24 (611% 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 611% of the Medicare baseline (a markup of 511%). 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 $16 - $24 407%
Medical Associates Hp - All Plans $16 407%
Medigold-All Plans $16 407%
Tricare $16 407%
UnitedHealthcare $16 - $33 407%
American Hp Mcr Adv-All Plans $17 433%
Iowa Total Care Mcaid-All Plans $17 433%
Amerigroup Mcaid-All Plans $18 458%
Madison County Sheriff-All Plans $18 458%
Molina Mcaid/Chip -All Plans $18 458%
Blue Cross Blue Shield $20 - $23 509%
Oscar - All Plans $24 611%
Corvel Wc-All Plans $33 840%
Choicecare-All Plans $35 891%
First Choice-All Plans $35 891%
First Health-All Plans $35 891%
Integrated Hp-All Plans $35 891%
Mutual Of Omaha-All Plans $35 891%
Plaines Health-All Plans $35 891%
Preferred Hlth Ntwork-All Plans $35 891%
Principal Healthcare-All Plans $35 891%
Usa Managed Care-All Plans $35 891%
Medimore Employee Hp - All Plans $36 916%
Midlands Choice - All Plans $36 916%
Benefit Admin Of America-All Plans $37 941%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 West Hutchings Street, Winterset, IA 50273
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals