CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Menorah Medical Center

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $33
  • Cash Discount Price: $316
  • vs. Medicare Baseline: 8.40x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Menorah Medical Center is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $316. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 8.40x the Medicare baseline. Located in 5721 West 119Th Street, Overland Park, KS.
Cash / Self-Pay
$316

Average discount available for prompt cash payment at this facility.

Insurance Median
$33

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$3.93

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3.93 (100%)
Cash / Self-Pay: $316 (8041%)
Insurance Median: $33 (840%)
Cash: $316 (8041% of Medicare)
Ins. Median: $33 (840% of 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 840% of the Medicare baseline (a markup of 740%). 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.

Input your details and click calculate to compare out-of-pocket costs.

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 $2 - $367 51%
Amerigroup $4 102%
Coventry $4 - $185 102%
Home State Health Plan $4 102%
Blue Cross Blue Shield $4 - $207 102%
Celtic $4 102%
Wellcare $4 102%
Medicaid / KanCare $4 102%
Humana $4 - $10 102%
United $4 - $207 102%
Aetna $4 - $234 102%
Devoted Health $4 102%
Unicare $4 102%
Healthyblue $4 102%
Triwest Health Alliance $4 102%
Pyramid Life $4 102%
Oscar $6 153%
Multiplan $7 - $340 178%
Oha Network $8 - $230 204%
Corvel Corporation $8 - $298 204%
Ambetter / Centene $32 - $85 814%
Nhc Advantage $33 - $87 840%
Wppa Providrs Care Network $35 - $92 891%
Universal Healthcare $61 - $161 1552%
Coventry Kc Mo $71 - $188 1807%
College Park Family Care Center $75 - $197 1908%
Cco, Inc. $130 - $344 3308%
Focus Healthcare Mgmt, Inc $130 - $344 3308%

Consumer Guidance & Cost Commentary

For the blood glucose test at Menorah Medical Center in Overland Park, KS, the cash price is $316.00, which matches the facility's median paid amount. This rate is significantly higher than the state average, reflecting the facility's proprietary ownership and the specific cost structure of acute care hospitals in Kansas. While commercial insurance plans like Cigna and Aetna negotiate rates ranging from $2 to $367, these negotiated amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying out-of-pocket. It is important to note that while the No Surprises Act protects patients from balance billing for emergency services at in-network facilities, non-emergency lab services may still be subject to out-of-network billing if not properly coordinated, so verifying the network status of specific ancillary services is crucial before scheduling.

To ensure you are not overcharged, always request a full itemized bill that lists every CPT code and unit cost, as summary bills often hide unbundled charges or services not rendered. If you choose to pay cash, ask the billing department about prompt-pay discounts, which can reduce the $316.00 fee by 20% to 50% if settled upfront, bypassing the administrative costs associated with insurance claims processing. Finally, compare your facility's rates against the Medicare benchmark of $3.93; although the commercial rates are much higher due to administrative markups, understanding this baseline helps identify if the negotiated rates from payers like Multiplan or United are fair or if they represent excessive pricing relative to the true cost of care.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5721 West 119Th Street, Overland Park, KS 66209
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals