CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Jefferson County Health Center

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82947
Insurance Median: $18
Cash Discount Price: $20
vs. Medicare Baseline: 4.58x Medicare

The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Jefferson County Health Center is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 4.58x the Medicare baseline. Located in 2000 S Main, Fairfield, IA.

Cash / Self-Pay

$20

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: $20 (509%)

Insurance Median: $18 (458%)

Cash: $20 (509% 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.

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
UnitedHealthcare	$2 - $43	51%
Amerigroup Mcr Adv	$7 - $19	178%
Humana	$7 - $19	178%
Iowa Total Care Comm - All Other Plans	$7 - $19	178%
Iowa Total Care Mcr	$7 - $19	178%
Molina Mcr Adv	$7 - $19	178%
Tricare	$7 - $19	178%
Iowa Total Care Mcaid	$8 - $20	204%
Medicaid / KanCare	$8 - $21	204%
Molina Mcaid/Chip	$8 - $20	204%
Aetna	$9 - $43	229%
Medicare (plans)	$9 - $24	229%
Coventry Commercial Hmo	$15 - $41	382%
Midlands New Product	$15 - $39	382%
Coventry Commercial Ppo - All Other Plans	$16 - $43	407%
Midlands Choice-All Other Plans	$16 - $43	407%
Molina Marketplace - All Other Plans	$18 - $48	458%
Wellmark Hmo	$23	585%
Wellmark Indemnity/Ppo - All Other Plans	$26	662%

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 $20.
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 Jefferson County Health Center 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.