CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Shenandoah Medical Center

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $63
  • Cash Discount Price: $122
  • vs. Medicare Baseline: 16.03x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Shenandoah Medical Center is $63. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $122. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 16.03x the Medicare baseline. Located in 300 Pershing Avenue, Shenandoah, IA.
Cash / Self-Pay
$122

Average discount available for prompt cash payment at this facility.

Insurance Median
$63

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: $122 (3104%)
Insurance Median: $63 (1603%)
Cash: $122 (3104% of Medicare)
Ins. Median: $63 (1603% 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 1603% of the Medicare baseline (a markup of 1503%). 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
UnitedHealthcare $4 - $184 102%
Blue Cross Blue Shield $7 178%
Home State Health Plan Mcaid-All Plans $62 1578%
Molina Mcd $62 1578%
Nebraska Total Care Mcaid-All Plans $62 1578%
Amerigroup Mcaid-All Plans $63 1603%
Iowa Total Care Mcaid-All Plans $63 1603%
Triwest Wellmark - All Plans $63 1603%
Aetna $64 - $180 1628%
Molina Mcr - All Other Plans $64 1628%
Tricare $64 1628%
Wellcare Mcr Adv - All Plans $64 1628%
Midlands Choice-All Plans $175 4453%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Pershing Avenue, Shenandoah, IA 51601
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals