Blood test, glucose (blood sugar)
Facility: Grisell Memorial Hospital
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $14
- Cash Discount Price: $25
- vs. Medicare Baseline: 3.56x 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 356% of the Medicare baseline (a markup of 256%). 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 |
|---|---|---|
| UnitedHealthcare | $1 - $20 | 25% |
| Blue Cross Blue Shield | $8 | 204% |
| Medicaid / KanCare | $26 | 662% |
| Humana | $26 | 662% |
Consumer Guidance & Cost Commentary
For the blood glucose test at Grisell Memorial Hospital in Ransom, Kansas, the cash price of $25.00 is slightly lower than the facility's negotiated rate of $14.00, which is the amount commercial insurers typically pay. This cash price is also lower than the Medicare benchmark of $3.93, indicating that the facility's standard billing structure for this service is significantly higher than the federal government's calculated cost baseline. While the facility is a Critical Access Hospital owned by a government district, patients with high-deductible plans may find paying the $25.00 cash price more advantageous than using insurance, as the negotiated rate often exceeds the cash amount due to administrative overheads included in commercial contracts.
To minimize costs, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid upfront. It is important to note that while the facility is in-network for UnitedHealthcare, Blue Cross Blue Shield, Medicaid/KanCare, and Humana, the specific allowed amount for this service is determined by individual plan contracts rather than a single state average. Since the data provided does not include specific county or state average comparisons for this procedure, patients are encouraged to verify their specific plan's allowed amount directly with the hospital before scheduling to ensure they are aware of their out-of-pocket responsibilities.