Blood test, glucose (blood sugar)
Facility: Susan B Allen Memorial Hospital
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $554
- Cash Discount Price: $7
- vs. Medicare Baseline: 140.97x 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 14097% of the Medicare baseline (a markup of 13997%). 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 |
|---|---|---|
| UnitedHealthcare | $350 | 8906% |
| Providrs Care | $757 | 19262% |
Consumer Guidance & Cost Commentary
For the CPT code 82947 (Blood test, glucose), Susan B Allen Memorial Hospital in El Dorado, KS, lists a cash median price of $7.00, which is significantly lower than the facility's gross charge of $11.00. While the hospital has no specific negotiated rates listed for this service in the provided data, patients should be aware that cash-pay options can sometimes be more cost-effective than insurance claims, particularly if the insurance negotiated rate exceeds the cash price. The facility offers a prompt-pay discount for upfront payments, which can further reduce the final amount owed.
It is important to note that while the facility is a voluntary non-profit acute care hospital, the specific negotiated rates for this test vary by payer. UnitedHealthcare and Providrs Care have distinct contracted amounts of $350 and $757 respectively, which are substantially higher than the cash price. Patients should verify their specific plan's deductible status and allowed amount before scheduling, as paying the full negotiated rate without meeting a deductible can result in high out-of-pocket costs. 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 errors before paying.