CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Pulaski Memorial Hospital

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $25
  • Cash Discount Price: $53
  • vs. Medicare Baseline: 6.36x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Pulaski Memorial Hospital is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $53. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 6.36x the Medicare baseline. Located in 616 E 13Th St, Winamac, IN.
Cash / Self-Pay
$53

Average discount available for prompt cash payment at this facility.

Insurance Median
$25

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: $53 (1349%)
Insurance Median: $25 (636%)
Cash: $53 (1349% of Medicare)
Ins. Median: $25 (636% 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 636% of the Medicare baseline (a markup of 536%). 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 $4 - $51 102%
Caresource Mcaid Hhw $4 102%
Cenpatico Mcaid Hhw - All Other Plans $4 102%
Mdwise Mcaid Hcc $4 102%
Mdwise Mcaid Hhw $4 102%
Mhs Mcaid Hhw/Hcc $4 102%
UnitedHealthcare $4 - $60 102%
Ambetter / Centene $24 611%
Caresource Mcaid Hip $24 611%
Caresource Mcare Hmo $24 611%
Cenpatico Mcaid Hip $24 611%
Humana $24 - $61 611%
Mdwise Mcaid Hip - All Other Plans $24 611%
Mhs Mcaid Hip $24 611%
Mhs Mcare Allwell $24 611%
Aetna $27 687%
Caresource Exch Hmo Hix - All Other Plans $29 738%
Sagamore Rose Acre $57 1450%
Sagamore - All Other Plans $58 1476%
Encore Ppo - All Other Plans $65 1654%
Community Health Alliance - All Plans $68 1730%
Encore Workers Comp $68 1730%
Multiplan - All Plans $68 1730%
Cigna $72 1832%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 616 E 13Th St, Winamac, IN 46996
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals