CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Alton Memorial Hospital

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82947
Insurance Median: $31
Cash Discount Price: $34
vs. Medicare Baseline: 7.89x Medicare

The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Alton Memorial Hospital is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $34. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 7.89x the Medicare baseline. Located in One Memorial Drive, Alton, IL.

Cash / Self-Pay

$34

Average discount available for prompt cash payment at this facility.

Insurance Median

$31

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: $34 (865%)

Insurance Median: $31 (789%)

Cash: $34 (865% of Medicare)

Ins. Median: $31 (789% 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 789% of the Medicare baseline (a markup of 689%). 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
Aetna	$4 - $42	102%
Blue Cross Blue Shield	$4 - $49	102%
Cox Health [757]	$4	102%
Devoted Health Plan [847]	$4	102%
Essence Healthcare [221]	$4	102%
Humana	$4 - $11	102%
Medica [662]	$4	102%
UnitedHealthcare	$4 - $42	102%
Cigna	$5 - $45	127%
Healthscope Benefits [258]	$5	127%
Allied Benefits [498]	$7 - $42	178%
Consociate [478]	$7	178%
Coresource [497]	$7	178%
Fmh Benefit Service Inc [222]	$7	178%
Mail Handlers [495]	$7	178%
Sarah Bush Lincoln [636]	$7	178%
Apwu Health Plan [216]	$8	204%
Nalc Health Benefit Plan [242]	$8	204%
Priority Health [648]	$8	204%
Mercy Behavioral Health [573]	$14	356%
Healthlink [225]	$27 - $42	687%
Cox Health Systems Insurance Company [220]	$31 - $36	789%
Health Alliance [224]	$31	789%
Hope Trust [806]	$32	814%
Med-Pay [480]	$36 - $42	916%
Unicare [568]	$36 - $42	916%
Beechstreet [551]	$42	1069%
Detego Health [868]	$42	1069%
First Health Commercial [734]	$42	1069%
Health Systems Inc [620]	$42	1069%
Healthcare Sol Mercy [609]	$42	1069%
Multiplan Commercial [737]	$42	1069%
Multiplan [240]	$42	1069%
Phcs [244]	$42 - $45	1069%
Preferred Health Professionals [561]	$42	1069%
Hfn [563]	$45	1145%
Medica [661]	$45	1145%

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 $34.
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 Alton Memorial 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.