CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: The Orthopaedic Hospital of Lutheran Health Networ

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $11
  • Cash Discount Price: $12
  • vs. Medicare Baseline: 2.80x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at The Orthopaedic Hospital of Lutheran Health Networ is $11. 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 2.80x the Medicare baseline. Located in 7952 W Jefferson Blvd, Ft Wayne, IN.
Cash / Self-Pay
$12

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $11 (280%)
Cash: $12 (305% of Medicare)
Ins. Median: $11 (280% 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 280% of the Medicare baseline (a markup of 180%). 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
Blue Cross Blue Shield $2 - $6 51%
UnitedHealthcare $3 - $36 76%
Aetna $4 - $36 102%
Amish Aid $4 - $20 102%
Caresource $4 102%
Department Of Veterans Affairs $4 102%
Humana $4 102%
In Dept Of Correction $4 102%
Iu Health Plan $4 102%
Lutheran Preferred $4 - $44 102%
Managed Health Services $4 - $8 102%
Medicaid / KanCare $4 102%
Medicare (plans) $4 102%
Mhs $4 102%
Node Devoted Health Mcr Adv $4 102%
Node Hospice Non Par Agree $4 102%
Node Mhs Mcr Adv $4 102%
Node Pphp Mcr Adv $4 102%
Node Va $4 102%
One Call Work Comp $4 102%
Physicians Health Plan $4 - $29 102%
Police And Sheriff $4 102%
Self Pay $4 - $20 102%
Small Business Aid $4 102%
Tricare $4 102%
Cigna $5 - $74 127%
Node Us Dept Of Labor $5 127%
Php Freedom Network $5 - $7 127%
Align Network $6 153%
Lutheran Advanced Network $6 153%
Node Lutheran Three Rivers Preferred Plus 150 $6 153%
Occunet In Work Comp $6 153%
Three Rivers Preferred $6 - $33 153%
Encore Wc $7 178%
Medrisk In Work Comp $7 178%
Node Lutheran Three Rivers Preferred Plus 175 $7 178%
Prime Health Services $7 - $56 178%
Sagamore $7 - $40 178%
Three Rivers Preferred In Work Comp $7 178%
Encore Ppo $8 - $37 204%
In Work Comp $8 204%
Lutheran Network $8 204%
Objective Surgical $8 204%
Encore Kba Epo $9 229%
Multiplan $10 - $58 254%
Encore $12 - $59 305%
Encore Kba Ppo $12 305%
First Health $12 - $57 305%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7952 W Jefferson Blvd, Ft Wayne, IN 46804
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals