Blood test, glucose (blood sugar)
Facility: Lmh
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $5
- Cash Discount Price: $16
- vs. Medicare Baseline: 1.27x 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 |
|---|---|---|
| Cigna | $3 - $80 | 76% |
| Aetna | $4 - $100 | 102% |
| Humana | $4 | 102% |
| Haskell Indian Health Services | $4 | 102% |
| Allwell | $4 | 102% |
| Blue Cross Blue Shield | $4 - $78 | 102% |
| Medicare (plans) | $4 | 102% |
| UnitedHealthcare | $4 - $46 | 102% |
| Non Contracted | $5 - $96 | 127% |
| First Health | $6 - $112 | 153% |
| Ambetter / Centene | $6 | 153% |
Consumer Guidance & Cost Commentary
For this blood glucose test at Lmh in Lawrence, KS, the cash price of $16.00 is significantly lower than the facility's negotiated rates, which range from $3 to $112 depending on the insurance plan. While Medicare sets a baseline payment of $3.93, the facility's cash rate is more than four times higher than that federal benchmark. Patients with high-deductible plans or those who have already met their out-of-pocket maximums may find paying the $16.00 cash price more advantageous than using insurance, as many commercial plans negotiate rates that exceed the cash amount. It is important to note that while the facility is a government-owned acute care hospital, the specific negotiated rates vary widely across the 11 payers listed, with some plans capping payments as low as $3.00 and others reaching up to $112.00.
To minimize costs, patients should proactively ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling the test, as these upfront payment incentives can reduce the final bill by 20% to 50%. Additionally, since over 80% of hospital bills contain errors, patients should request a detailed, itemized statement rather than accepting a summary invoice, which may hide unbundled charges or services not rendered. If a patient receives a bill from an out-of-network provider at this in-network facility, they may be entitled to protections under the No Surprises Act, which prevents balance billing for emergency and non-emergency services. Finally, comparing the facility's rates to the state average provides context, though specific county-level averages were not included in the available data for this location.