CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Community Hospital of Staunton

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $87
  • Cash Discount Price: $56
  • vs. Medicare Baseline: 22.14x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Community Hospital of Staunton is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $56. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 22.14x the Medicare baseline. Located in 400 N Caldwell St, Staunton, IL.
Cash / Self-Pay
$56

Average discount available for prompt cash payment at this facility.

Insurance Median
$87

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: $56 (1425%)
Insurance Median: $87 (2214%)
Cash: $56 (1425% of Medicare)
Ins. Median: $87 (2214% 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 2214% of the Medicare baseline (a markup of 2114%). 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
Clear Spring Health Ma $4 - $34 102%
Medicare (plans) $4 - $34 102%
Tricare $4 - $33 102%
Medicaid / KanCare $9 - $113 229%
Self Pay $56 1425%
Cigna $73 1858%
Blue Cross Blue Shield $84 - $113 2137%
Healthlink $84 - $96 2137%
Health Alliance Commercial $90 - $113 2290%
Aetna $91 - $113 2316%
Multiplan/Phcs $96 2443%
UnitedHealthcare $96 - $113 2443%
Beech Street $102 2595%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 N Caldwell St, Staunton, IL 62088
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals