CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Norton-King's Daughters' Health

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82947
Insurance Median: $42
Cash Discount Price: $12
vs. Medicare Baseline: 10.69x Medicare

The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Norton-King's Daughters' Health is $42. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 10.69x the Medicare baseline. Located in 1373 East Sr 62, Madison, IN.

Cash / Self-Pay

$12

Average discount available for prompt cash payment at this facility.

Insurance Median

$42

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: $12 (305%)

Insurance Median: $42 (1069%)

Cash: $12 (305% of Medicare)

Ins. Median: $42 (1069% 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 1069% of the Medicare baseline (a markup of 969%). 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	$3 - $47	76%
Blue Cross Blue Shield	$4 - $12	102%
Humana	$4	102%
Managed Health Services	$4 - $6	102%
Managed Health Services Of Indiana	$4	102%
Managed Health Services Of Kentucky	$4	102%
Passport By Molina	$4	102%
UnitedHealthcare	$4 - $42	102%
Caresource Of Indiana	$6	153%
Caresource Of Kentucky	$6	153%
Custom Design Benefits	$8 - $26	204%
Cigna	$45	1145%
Encore	$45	1145%
Quality Care Partners	$47	1196%
Bluegrass	$48	1221%
First Health	$48	1221%
Healthlink	$48	1221%
Vha/Tristate	$48	1221%
Multiplan/Phcs	$49	1247%
Indiana Health Network	$50	1272%
Siho	$50	1272%

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 $12.
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 Norton-King's Daughters' Health 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.