Blood test, glucose (blood sugar)
Facility: Pratt Regional Medical Center
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $21
- Cash Discount Price: $18
- vs. Medicare Baseline: 5.34x 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 534% of the Medicare baseline (a markup of 434%). 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 |
|---|---|---|
| Christian Health Aid | $10 - $28 | 254% |
| Health Partners Of Kansas | $11 - $31 | 280% |
| UnitedHealthcare | $11 - $38 | 280% |
| Aetna | $12 - $33 | 305% |
| Choicecare | $13 - $37 | 331% |
Consumer Guidance & Cost Commentary
For this blood glucose test at Pratt Regional Medical Center in Pratt, KS, the cash price of $18.00 is notably lower than the facility's negotiated rates with major insurers, which range from $11 to $38 depending on the plan. While the facility's cash rate is higher than the national Medicare benchmark of $3.93, patients with high-deductible plans may find paying cash directly more cost-effective than relying on insurance, as the negotiated rates often exceed the cash price. To maximize savings, we recommend asking the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can further reduce the final amount owed.
It is important to distinguish between the facility's gross charge of $25.00 and the actual amounts billed to patients, as commercial insurance contracts typically cap payments at negotiated rates that vary by payer. Although this specific CPT code does not include a state or county average for comparison in the current data, the significant gap between the cash price and the highest negotiated rate of $38.00 highlights how administrative costs and contract dynamics can inflate the final bill. Consumers should avoid accepting summary bills that only show broad category totals; instead, request a full itemized statement to verify that no unbundled charges or services not rendered are included in the final invoice.