Blood test, glucose (blood sugar)
Facility: Nmc Health
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $28
- Cash Discount Price: $28
- vs. Medicare Baseline: 7.12x 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 712% of the Medicare baseline (a markup of 612%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $9 | 229% |
| Aetna | $12 - $41 | 305% |
| Wppa | $16 - $28 | 407% |
| Occunet | $17 - $30 | 433% |
| Medincrease Health Plan | $19 - $33 | 483% |
| Samaritan Ministries International | $19 - $33 | 483% |
| Prime Health Services | $22 - $38 | 560% |
| UnitedHealthcare | $26 - $45 | 662% |
| Cigna | $28 - $48 | 712% |
Consumer Guidance & Cost Commentary
For the blood glucose test at Nmc Health in Newton, Kansas, the facility's cash price of $28.00 is notably lower than the state average, which sits at $40.00. While commercial insurance plans like Aetna and UnitedHealthcare negotiate rates ranging from $12 to $48, these negotiated amounts often exceed the cash price due to administrative overhead and contract structures. For patients with high-deductible plans, paying the $28.00 cash rate upfront can be more cost-effective than relying on insurance, which may result in higher out-of-pocket costs if the deductible has not yet been met. It is advisable to confirm with the hospital whether "self-pay" or "prompt-pay" discounts are available, as paying in full before or shortly after the service can sometimes reduce the final bill further.
This facility's pricing is also evaluated against the Medicare benchmark, which stands at $3.93 for this procedure. The commercial cash rate of $28.00 represents a significant markup relative to the federal baseline, illustrating the typical difference between government-set costs and private market pricing. Because over 80% of hospital bills contain errors, patients should request a detailed, itemized statement rather than accepting a summary invoice to ensure no charges are duplicated or unbundled. If a balance bill arises from an out-of-network ancillary service, the No Surprises Act provides legal protections against unexpected costs, allowing patients to dispute the amount with the insurer rather than paying immediately.