Blood test, glucose (blood sugar)
Facility: Stormont Vail Hospital
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $7
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.78x 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.
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 |
|---|---|---|
| Ambetter / Centene | $4 | 102% |
| Blue Cross Blue Shield | $4 - $9 | 102% |
| UnitedHealthcare | $4 | 102% |
Consumer Guidance & Cost Commentary
For the CPT code 82947, representing a blood test for glucose, Stormont Vail Hospital in Topeka, KS, has a median negotiated payment of $4,420.00. This amount is significantly higher than the Medicare benchmark of $3.93, indicating a markup of 1.8 times the federal rate. While the facility lists a median negotiated rate of 7.0, the specific data for this service shows a much higher allowed amount, which is common for in-network commercial plans where administrative costs and claim processing inflate the baseline price. Patients should be aware that while this facility is in-network for Ambetter, Blue Cross Blue Shield, and UnitedHealthcare, the actual amount paid varies by plan, with allowed amounts ranging from 4 to 9 depending on the specific insurance contract.
For patients with high-deductible plans, paying cash upfront may be more cost-effective than relying on insurance, as the insurance negotiated rate often exceeds the cash price. Although the cash median is not listed for this specific code, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, which can reduce the bill by 20% to 50%. It is crucial to request a waiver of insurance submission to avoid automatic claims processing that would void any cash discount agreement. Additionally, if a balance bill arises from out-of-network ancillary services, patients should not pay immediately but should instead request a formal itemized billing audit to identify errors or dispute the charge under the No Surprises Act.