CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Saint Joseph Regional Medical Center - Plymouth

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $37
  • Cash Discount Price: $49
  • vs. Medicare Baseline: 9.41x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Saint Joseph Regional Medical Center - Plymouth is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 9.41x the Medicare baseline. Located in 1915 Lake Ave, Plymouth, IN.
Cash / Self-Pay
$49

Average discount available for prompt cash payment at this facility.

Insurance Median
$37

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: $49 (1247%)
Insurance Median: $37 (941%)
Cash: $49 (1247% of Medicare)
Ins. Median: $37 (941% 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 941% of the Medicare baseline (a markup of 841%). 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 $2 - $37 51%
Blue Cross Blue Shield $2 - $8 51%
Medicaid / KanCare $2 - $4 51%
UnitedHealthcare $2 - $48 51%
County Coroner $4 102%
Managed Health Services - Indiana $4 102%
Mdwise $4 102%
Medicare (plans) $4 102%
Meridian Complete $4 102%
Pace-Trinity Health $4 102%
Provider Partners Health Plan Of Indiana $4 102%
Auxiant $6 - $62 153%
Bureau Of Disability $6 153%
Caresource $6 153%
Physicians Health Plan Northern Indiana Health Insurance $6 - $12 153%
Siho Insurance Services $6 153%
St Joseph County Hlth Dpt $6 153%
Allied Benefit Systems $7 - $49 178%
Key Benefit Administrator $7 - $53 178%
Blue Benefit Administrators Of Massachusetts $8 204%
Blue Care Network $8 204%
Blue Distinction Transplant $8 204%
Blue Shield - Ca $8 204%
Blue Shield - Id (Regence) $8 204%
Blue Shield - Ny Highmark Northeastern $8 204%
Blue Shield - Ny Highmark Western $8 204%
Blue Shield - Pa (Highmark) $8 204%
Blue Shield - Wa (Regence) $8 204%
Custom Design Benefits $8 204%
Plain Church Group $20 509%
Asr Health Benefits $37 941%
Christian Brother Services $37 941%
Employee Benefit Management $37 941%
Medical Mutual $37 941%
Meritain $37 941%
Preferred One $37 941%
Rural Carrier Health Benefit Plan $37 941%
Webtpa $37 941%
Notre Dame Athletic Association $41 1043%
Wc Notre Dame $41 1043%
Luminare Health (Detroit) $43 - $45 1094%
Ameriben $45 1145%
Geha $48 1221%
Healthscope $48 1221%
Student Insurance Cma $48 1221%
Encore Health $53 1349%
Indiana Criminal Justice Inst $53 1349%
Western & Southern Financial Group $53 1349%
Cigna $54 1374%
Group Administrators $54 1374%
Health Partners $54 1374%
Mvp $54 1374%
Prairie States $54 1374%
Priority Health $54 1374%
Professional Benefit Administrators $54 1374%
Sagamore Health Network $54 - $58 1374%
Sisco Benefits $54 1374%
Unified Group Services $54 1374%
Goshen Preferred Network $58 - $64 1476%
Signature Care $62 1578%
Allied National Global Care $68 1730%
Asrm - Reliance Standard Life Insurance $68 1730%
Avmed Health Plan $68 1730%
Christian Care Ministry $68 1730%
Dean Health $68 1730%
Fallon Health $68 1730%
Family Life Insurance Company $68 1730%
Freedom Life Insurance Company $68 1730%
Ghc Scw $68 1730%
International Benefit Administrators $68 1730%
Lifetime Benefit Solutions $68 1730%
Manhattan Life $68 1730%
Medi Share $68 1730%
Multiplan $68 1730%
Pai $68 1730%
Pan-American Life $68 1730%
Paramount Hmo $68 1730%
Phcs $68 1730%
Philadelphia American Life Insurance $68 1730%
Trinity Health Share $68 1730%
Bankers Life Casualty $75 1908%
Wc Align Network $75 1908%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1915 Lake Ave, Plymouth, IN 46563
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals