CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Lost Rivers Medical Center

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $30
  • Cash Discount Price: $38
  • vs. Medicare Baseline: 7.63x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Lost Rivers Medical Center is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 7.63x the Medicare baseline. Located in 551 Highland Drive, Arco, ID.
Cash / Self-Pay
$38

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: $38 (967%)
Insurance Median: $30 (763%)
Cash: $38 (967% 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
Humana $2 - $30 51%
Regence Blue Shield-All Other Plans $2 51%
Provider Network Of America-All Plans $7 178%
Select Health Brightpath-All Other Plans $27 687%
Tricare $27 687%
Ihcn Brightpath-All Other Plans $28 712%
Va Pccc-All Plans $29 738%
Blue Cross Blue Shield $30 - $47 763%
Ihcn Brightpath Mcr Adv $30 763%
Molina Mcr Adv-All Plans $30 763%
Pacificsource Mcr Adv $30 763%
Regence/Brightpth Slhp Mcr $30 763%
Select Health Mcr Adv $30 763%
Prime Hlth Mcr Adv $31 789%
Aetna $32 - $44 814%
Cigna $44 1120%
First Choice-All Plans $44 1120%
Pacificsource Navigator-All Other Plans $45 1145%
UnitedHealthcare $45 1145%
Altius Health Plan-All Plans $46 1170%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 551 Highland Drive, Arco, ID 83213
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals