CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Sanford Sheldon Medical Center

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $39
  • Cash Discount Price: $49
  • vs. Medicare Baseline: 9.92x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Sanford Sheldon Medical Center is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 9.92x the Medicare baseline. Located in 118 North Seventh Avenue, Po Box 250, Sheldon, IA.
Cash / Self-Pay
$49

Average discount available for prompt cash payment at this facility.

Insurance Median
$39

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: $49 (1247%)
Insurance Median: $39 (992%)
Cash: $49 (1247% of Medicare)
Ins. Median: $39 (992% 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 992% of the Medicare baseline (a markup of 892%). 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
Sanford Health Plan Align $17 433%
Aetna $19 - $53 483%
Blue Cross Blue Shield $19 483%
Health Partners $19 - $46 483%
Medicare (plans) $19 483%
Primewest $19 483%
Ucare $19 - $54 483%
UnitedHealthcare $19 - $51 483%
Wellmark $30 - $32 763%
Sanford Health Plan $33 - $38 840%
Security Health Plan $34 865%
Medica $50 - $54 1272%
First Choice Health Network $55 1399%
Healthez $55 1399%
Multiplan $55 1399%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 118 North Seventh Avenue, Po Box 250, Sheldon, IA 51201
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals