Blood test, glucose (blood sugar)
Facility: University Of Kansas Health System - St Francis Campus
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $33
- Cash Discount Price: $24
- vs. Medicare Baseline: 8.40x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 840% of the Medicare baseline (a markup of 740%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Healthcare Highways [2210] | $33 | 840% |
| Hooray Health [8000] | $33 | 840% |
| Aetna | $33 | 840% |
| Web Tpa [2115] | $33 | 840% |
| Oncology Patient Assistance Programs [2295] | $33 | 840% |
| Blue Cross Blue Shield | $33 | 840% |
| Lucent Health [6000] | $33 | 840% |
| Black Lung [6055] | $33 | 840% |
| Department Of Corrections [1340] | $41 | 1043% |
| Healthpartners [1500] | $47 | 1196% |
| National Association Of Letter Carriers [1695] | $47 | 1196% |
| Cigna | $47 | 1196% |
| American Postal Workers Union [1070] | $47 | 1196% |
| Humana | $48 | 1221% |
| Administrative Concepts [1005] | $63 | 1603% |
| American Healthcare [1055] | $63 | 1603% |
| First Health [1375] | $63 | 1603% |
| Multiplan [1680] | $63 | 1603% |
| Coventry Healthcare [1320] | $67 | 1705% |
| Ks Disability Determination [6090] | $81 | 2061% |
Consumer Guidance & Cost Commentary
For this blood glucose test at the University of Kansas Health System - St Francis Campus, the cash price is $24.00, which is significantly lower than the facility's negotiated rates of $33.00 and the median paid amount of $81.00. While the facility is in-network for many payers, including Aetna and Blue Cross Blue Shield, patients with high-deductible plans may find that paying the cash price upfront is more cost-effective than relying on insurance, as the negotiated rates often exceed the cash price. It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should still verify their specific plan details and ask the hospital directly about "self-pay" or "prompt-pay" discounts before scheduling, as these can further reduce the final cost.
The facility's cash rate of $24.00 is notably lower than the Medicare benchmark of $3.93 for this procedure, indicating a substantial markup relative to the federal government's cost-based reimbursement. Although the data does not provide specific county or state average comparisons for this code, the significant difference between the cash price and the median paid amount highlights the potential for unexpected costs when insurance claims are processed. To avoid confusion, patients should request a full itemized bill containing specific CPT codes rather than accepting a summary invoice, as hospitals may sometimes bill for services not rendered or unbundled components. If a balance bill arises despite being an in-network visit, patients should dispute the charge with their insurer and request a No Surprises Act audit rather than paying immediately out of fear.