Blood test, glucose (blood sugar)

For the CPT code 82947, representing a blood glucose test, Mercy Hospital Pittsburg, Inc. lists a cash median price of $26.00, which is notably higher than the state average of $18.00. While commercial payers negotiate rates that typically range between $18.00 and $48.00 depending on the specific plan, patients should be aware that cash-paying can sometimes be more cost-effective if their insurance negotiated rate exceeds the cash price. To secure the lowest possible amount, it is advisable to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can significantly reduce the final bill for those without insurance or with high-deductible plans.

When evaluating this service, it is important to compare the facility's pricing against the Medicare benchmark, which stands at $3.93. Commercial rates often average 200% to 300% of this Medicare baseline, whereas fair pricing is generally considered to be between 120% and 150% of the Medicare amount. Although the facility is a voluntary non-profit church-owned hospital, patients should verify their specific plan's allowed amount before scheduling, as in-network rates vary widely across different carriers. Additionally, if you receive a bill that includes charges for services not rendered or unbundled components, you have the right to request a formal itemized billing audit to identify and correct any errors before payment.