CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Monroe County Hospital

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82947
Insurance Median: $44
Cash Discount Price: $64
vs. Medicare Baseline: 11.20x Medicare

The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Monroe County Hospital is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $64. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 11.20x the Medicare baseline. Located in 6580 165Th Street, Albia, IA.

Cash / Self-Pay

$64

Average discount available for prompt cash payment at this facility.

Insurance Median

$44

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: $64 (1628%)

Insurance Median: $44 (1120%)

Cash: $64 (1628% of Medicare)

Ins. Median: $44 (1120% 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 1120% of the Medicare baseline (a markup of 1020%). 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
Va Ccn - All Plans	$2 - $7	51%
Wellmark Hmo	$6	153%
Wellmark Ppo - All Other Plans	$7	178%
Aetna	$20 - $156	509%
Amerigroup Mcare	$20 - $70	509%
Humana	$20 - $70	509%
Mahp Mcare - All Plans	$20 - $70	509%
Tricare	$20 - $70	509%
UnitedHealthcare	$20 - $158	509%
Wellmark Mcare	$20 - $70	509%
Iowa Total Care Mcaid - All Plans	$23 - $83	585%
Amerigroup Mcaid - All Other Plans	$24 - $85	611%
Molina Mcaid - All Plans	$24 - $84	611%
Centivo - All Plans	$30 - $105	763%
Midlands Choice - All Plans	$33 - $116	840%
Preferred Hlth - All Plans	$35 - $124	891%
Geha - All Plans	$38 - $133	967%
Multiplan - All Plans	$42 - $149	1069%
Integrated Hp - All Plans	$46 - $161	1170%

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 $64.
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 Monroe County Hospital 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.