CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Decatur Memorial Hospital

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $34
  • Cash Discount Price: $75
  • vs. Medicare Baseline: 8.65x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Decatur Memorial Hospital is $34. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $75. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 8.65x the Medicare baseline. Located in 2300 North Edward Street, Decatur, IL.
Cash / Self-Pay
$75

Average discount available for prompt cash payment at this facility.

Insurance Median
$34

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: $75 (1908%)
Insurance Median: $34 (865%)
Cash: $75 (1908% of Medicare)
Ins. Median: $34 (865% 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 865% of the Medicare baseline (a markup of 765%). 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
Aetna $4 - $70 102%
Blue Cross Blue Shield $4 - $104 102%
Coventry $4 - $53 102%
Health Alliance $4 - $69 102%
Humana $4 - $68 102%
Medicare (plans) $4 102%
Tricare $4 102%
UnitedHealthcare $4 - $104 102%
Veterans Administration $4 102%
Wellcare $4 102%
Caterpillar $5 127%
Plain Church Medical Group $5 - $47 127%
Medicaid / KanCare $6 153%
Mennonite Churches $16 - $36 407%
Cigna $21 - $48 534%
Health Alliance Mh Employee Plan $21 - $48 534%
Illinois Workers Compensation $24 - $43 611%
6 Degrees Health $28 - $62 712%
Hopetrust $28 - $62 712%
Hst $28 - $62 712%
Phcs Savility $30 - $68 763%
Phcs Multiplan Ppo $31 - $71 789%
Healthlink $32 - $71 814%
Corvel $33 - $75 840%
Consociate $34 - $77 865%
Hfn $34 - $78 865%
Commercial Workers Compensation $41 1043%
Liability $46 - $104 1170%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2300 North Edward Street, Decatur, IL 62526
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals