CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Mt Sinai Hospital Medical Center

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $19
  • Cash Discount Price: $50
  • vs. Medicare Baseline: 4.83x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Mt Sinai Hospital Medical Center is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 4.83x the Medicare baseline. Located in 15Th Street at California, Chicago, IL.
Cash / Self-Pay
$50

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

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: $50 (1272%)
Insurance Median: $19 (483%)
Cash: $50 (1272% of Medicare)
Ins. Median: $19 (483% 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 483% of the Medicare baseline (a markup of 383%). 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
Advocate Physician Prtnrs - All Other Plans $4 102%
Advocate Physician Prtnrs Mcr $4 102%
Ambetter / Centene $4 - $115 102%
Blue Cross Blue Shield $4 - $70 102%
Cenpatico Illinicare Dual $4 102%
Cenpatico Illinicare Mcr - All Other Plans $4 102%
Cigna $4 - $135 102%
Harmony Behavioral Htlh - All Plans $4 102%
Humana $4 - $343 102%
Lawndale Christian - All Plans $4 - $22 102%
Meridian/Harmony D-Snp - All Plans $4 102%
Molina Mcr - All Other Plans $4 102%
Nextlevel Hlth Icp Fhp Aca - All Plans $4 102%
Oscar - All Plans $4 - $36 102%
Tricare $4 102%
UnitedHealthcare $4 102%
Va Healthnet - All Plans $4 102%
Zing Mcr Adv - All Plans $4 102%
Aetna $7 - $247 178%
Family Health Network Mcaid - All Plans $7 178%
Molina Mcaid $8 204%
Partners In Hlth - All Plans $13 - $44 331%
Healthlink Hmo $16 - $55 407%
Healthlink Ppo - All Other Plans $16 - $55 407%
Compsych Ip/Op Only - All Plans $20 - $66 509%
Hfn Platinum $21 - $71 534%
Multiplan Primary Ntwrk/Phcs - All Other Plans $23 - $77 585%
Hfn Epo $26 - $87 662%
Multiplan Complementary Ntwrk $26 - $87 662%
Hfn Ppo - All Other Plans $29 - $96 738%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 15Th Street at California, Chicago, IL 60608
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals