CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Orange City Area Health System

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $30
  • Cash Discount Price: $26
  • vs. Medicare Baseline: 7.63x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Orange City Area Health System is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 7.63x the Medicare baseline. Located in 1000 Lincoln Circle Se, Orange City, IA.
Cash / Self-Pay
$26

Average discount available for prompt cash payment at this facility.

Insurance Median
$30

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: $26 (662%)
Insurance Median: $30 (763%)
Cash: $26 (662% of Medicare)
Ins. Median: $30 (763% 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 763% of the Medicare baseline (a markup of 663%). 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
Wellmark Hmo $20 509%
Wellmark Ppo - All Other Plans $23 585%
Health Partners Coordinated-All Other Plans $30 763%
Health Partners Open $30 763%
Midlands Choice-All Plans $30 763%
UnitedHealthcare $30 763%
Sanford Health-All Plans $31 789%
Avera-All Plans $32 814%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Lincoln Circle Se, Orange City, IA 51041
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals