CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Boone County Hospital

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82947
Insurance Median: $14
Cash Discount Price: $16
vs. Medicare Baseline: 3.56x Medicare

The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Boone County Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 3.56x the Medicare baseline. Located in 1015 Union Street, Boone, IA.

Cash / Self-Pay

$16

Average discount available for prompt cash payment at this facility.

Insurance Median

$14

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: $16 (407%)

Insurance Median: $14 (356%)

Cash: $16 (407% of Medicare)

Ins. Median: $14 (356% 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 356% of the Medicare baseline (a markup of 256%). 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	$1 - $2	25%
Amerigroup Mcr Adv - All Other Plans	$2 - $14	51%
Choice Care Mcr Adv - All Plans	$2 - $14	51%
Humana	$2 - $35	51%
Iowa Hlth Adv - All Plans	$2 - $16	51%
Mt Carmel Hp - All Plans	$2 - $16	51%
UnitedHealthcare	$2 - $23	51%
Aetna	$3 - $27	76%
Iowa Total Care Mcaid - All Plans	$3 - $18	76%
Medicaid / KanCare	$3 - $18	76%
Meridian Mcaid - All Plans	$3 - $18	76%
Healthsmart Accell Network	$4 - $24	102%
Medical Associates Hp-All Plans	$4 - $26	102%
Tricare	$4	102%
Health Alliance-All Plans	$5 - $35	127%
Healthsmart Ppo - All Other Plans	$5 - $28	127%
Midlands Choice-All Plans	$6 - $32	153%
Mutually Preferred-All Plans	$6 - $33	153%
Wellmark Hmo	$23	585%
Wellmark Ppo - All Other Plans	$25	636%

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 $16.
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 Boone 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.