CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Kansas Heart Hospital

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $4
  • Cash Discount Price: $9
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Kansas Heart Hospital is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 1.02x the Medicare baseline. Located in 3601 North Webb Road, Wichita, KS.
Cash / Self-Pay
$9

Average discount available for prompt cash payment at this facility.

Insurance Median
$4

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: $9 (229%)
Insurance Median: $4 (102%)
Cash: $9 (229% of Medicare)
Ins. Median: $4 (102% 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.

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
UnitedHealthcare $4 102%
Humana $4 102%
Celtic Mcr Adv $4 102%
Tricare $4 102%
Medicaid / KanCare $4 102%
Blue Cross Blue Shield $6 153%
Wppa - All Plans $6 153%
Multiplan - All Plans $13 331%

Consumer Guidance & Cost Commentary

For the glucose blood test (CPT 82947) at Kansas Heart Hospital in Wichita, KS, the facility's cash price of $9.00 is lower than the state average, while the median negotiated rate of $4.00 reflects the contractual agreements with major payers like UnitedHealthcare and Humana. It is important to note that for patients with high-deductible plans, paying the cash price of $9.00 upfront can sometimes be more cost-effective than relying on insurance, as the insurer's allowed amount may exceed the cash rate. Additionally, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts, which can further reduce the final bill by bypassing administrative claim processing fees.

When reviewing your bill, be aware that the facility's gross charge of $15.00 is significantly higher than the Medicare benchmark of $3.93, which serves as the objective baseline for fair pricing. If you receive a bill that includes charges for services not rendered or items that should have been bundled, you should request a full itemized audit rather than accepting a summary invoice. If you are out-of-network or face unexpected charges, the No Surprises Act may protect you from balance billing for emergency care and non-emergency services at in-network facilities, so it is advisable to dispute any surprise bills in writing before signing away your rights.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3601 North Webb Road, Wichita, KS 67226
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals