Blood test, glucose (blood sugar)
Facility: Mcpherson Hospital
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $26
- Cash Discount Price: $43
- vs. Medicare Baseline: 6.62x 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 662% of the Medicare baseline (a markup of 562%). 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 |
|---|---|---|
| Tricare | $3 | 76% |
| Healthy Blue Mcr Adv | $4 | 102% |
| UnitedHealthcare | $4 - $90 | 102% |
| Va Ccn - All Plans | $4 | 102% |
| Blue Cross Blue Shield | $4 | 102% |
| Wellcare Mcr Adv - All Plans | $4 | 102% |
| Humana | $4 | 102% |
| Ambetter / Centene | $5 | 127% |
| Wppa - All Plans | $19 - $63 | 483% |
| Central Plains - All Plans | $20 - $68 | 509% |
| Medical Associates - All Plans | $20 - $68 | 509% |
| Christian Health Aid - All Plans | $22 - $72 | 560% |
| Aetna | $22 - $90 | 560% |
| Multiplan - All Plans | $24 - $81 | 611% |
| First Health - All Plans | $26 - $86 | 662% |
| Cigna | $26 - $86 | 662% |
| Health Partners - All Plans | $26 - $86 | 662% |
| Medicaid / KanCare | $27 - $90 | 687% |
| Health Blue Mcaid - All Other Plans | $28 - $92 | 712% |
Consumer Guidance & Cost Commentary
For the CPT code 82947, representing a blood test for glucose, McPherson Hospital in Kansas lists a gross charge of $59.00. This amount is significantly higher than the state average for this service, which is $43.00 for cash pay and $44.00 for the median negotiated rate. While the facility's cash price is $43.00, patients should be aware that commercial insurance plans often negotiate rates higher than the cash price due to administrative overhead and contract structures. For instance, UnitedHealthcare and Aetna have negotiated ranges extending up to $90, which exceeds the cash rate. Consumers with high-deductible plans may find it financially advantageous to pay the cash price directly, provided they can secure a "self-pay" or "prompt-pay" discount from the hospital before scheduling, as these upfront payments can bypass the higher administrative costs associated with insurance billing cycles.
When evaluating the cost of this procedure, it is important to compare the facility's rates against the federal baseline rather than the inflated gross charges. The Medicare benchmark for this service is $3.93, and the facility's cash rate of $43.00 represents a substantial markup relative to this federal cost basis. While the facility is a voluntary non-profit acute care hospital, the negotiated rates for various payers, such as Medicaid/KanCare at $27.00 and Central Plains at $20.00, vary widely based on contract terms. To ensure you are receiving a fair price, patients should request an itemized bill to verify that no unbundled charges or services not rendered are included, as summary bills often obscure individual line items