Blood test, glucose (blood sugar)
Facility: Lane County Hospital
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $28
- Cash Discount Price: $28
- vs. Medicare Baseline: 7.12x 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 712% of the Medicare baseline (a markup of 612%). 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 | $23 - $30 | 585% |
| Aetna | $23 - $28 | 585% |
| Medicaid / KanCare | $26 - $33 | 662% |
| Healthy Blue Mcr Adv - All Other Plans | $26 - $30 | 662% |
| Healthy Blue Mcaid | $26 - $30 | 662% |
| Wppa Providers-All Plans | $38 - $45 | 967% |
Consumer Guidance & Cost Commentary
For this blood glucose test at Lane County Hospital in Dighton, KS, the cash price is $28.00, which matches the facility's median negotiated rate and is slightly higher than the state average of $27.00. While commercial payers like UnitedHealthcare and Aetna have negotiated rates ranging from $23.00 to $33.00, patients with high-deductible plans may find paying cash upfront more cost-effective, as the cash price is lower than many insurance allowed amounts. To maximize savings, patients should explicitly ask the hospital for "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50% by bypassing administrative claim processing fees.
When comparing this service to the broader healthcare landscape, the facility's cash rate is notably higher than the Medicare benchmark of $3.93, reflecting the standard markup for commercial services. However, the negotiated rates for major insurers remain relatively close to the cash price, suggesting limited room for additional discounting through insurance networks. It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should still request a detailed, itemized bill to verify that all charges are accurate and that no unbundled codes or services not rendered have been included.