CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: HSHS St Elizabeth's Hospital

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $94
  • Cash Discount Price: $75
  • vs. Medicare Baseline: 23.92x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at HSHS St Elizabeth's Hospital is $94. 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 23.92x the Medicare baseline. Located in One St Elizabeth Boulevard, O Fallon, IL.
Cash / Self-Pay
$75

Average discount available for prompt cash payment at this facility.

Insurance Median
$94

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: $94 (2392%)
Cash: $75 (1908% of Medicare)
Ins. Median: $94 (2392% 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 2392% of the Medicare baseline (a markup of 2292%). 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 - $104 102%
Blue Cross Blue Shield $4 - $104 102%
Clear Spring Health Of Illinois $4 - $104 102%
Health Alliance Medical Plans $4 - $104 102%
Health Partners $4 - $104 102%
Humana $4 - $104 102%
Meridian Health Plan $4 102%
Molina Healthcare $4 - $104 102%
Sae Hospice $4 - $104 102%
UnitedHealthcare $4 - $104 102%
Celtic Insurance Company $8 - $104 204%
Naphcare $9 - $104 229%
Claim Doc $10 - $104 254%
Hopetrust $10 - $104 254%
Amish Community $29 738%
Wellfirst $67 1705%
First Health $77 1959%
Cigna $82 - $104 2087%
Healthlink $83 - $104 2112%
Caterpillar, Inc. $84 2137%
Consociate Group $92 2341%
Choicecare $94 2392%
Healthcare Finest Network (Hfn) $94 2392%
Multiplan/Phcs $94 2392%
Provider Network Of America $94 2392%
City Of Springfield $104 2646%
Current Health Solutions $104 2646%
Healthscope $104 2646%
Illinois Breast And Cervical Cancer Program $104 2646%
Interplan $104 2646%
Live360 $104 2646%
Wexford $104 2646%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One St Elizabeth Boulevard, O Fallon, IL 62269
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals