Blood test, glucose (blood sugar)
Facility: Kansas City Orthopaedic Institute
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $6
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.53x 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 | $4 - $6 | 102% |
| Aetna | $4 | 102% |
| UnitedHealthcare | $4 - $7 | 102% |
| Medica | $5 - $6 | 127% |
| Blue Cross Blue Shield | $6 - $7 | 153% |
Consumer Guidance & Cost Commentary
For the CPT code 82947, representing a blood test for glucose, the Kansas City Orthopaedic Institute in Leawood, KS, has a gross charge of $10.00. This facility is a physician-owned acute care hospital located in zip code 66211. While specific cash and median paid rates are not available in the current data, the facility's negotiated rates average $6.00 across five payers, including Cigna, Aetna, UnitedHealthcare, Medica, and Blue Cross Blue Shield. The Medicare benchmark for this service is $3.93, which serves as the objective baseline for evaluating pricing markups. Commercial negotiated rates typically range from 200% to 300% of Medicare, whereas fair pricing is often defined as 120% to 150% of the Medicare amount.
Patients should be aware that insurance negotiated rates can sometimes exceed cash prices, particularly for those with high-deductible plans where paying out-of-pocket might be more cost-effective. It is important to verify "self-pay" or "prompt-pay" discounts directly with the hospital before scheduling, as these upfront payment incentives can significantly reduce the final bill by bypassing administrative claim processing costs. Additionally, consumers should request a full itemized CPT-coded bill rather than accepting a summary invoice, as detailed statements are essential for identifying errors, unbundled codes, or services not rendered. Disputing billing inaccuracies should be done in writing to ensure proper resolution, and patients should avoid paying surprise balance bills immediately without first verifying their legality under federal protections like the No Surprises Act.