Blood test, glucose (blood sugar)
Facility: Ashland Health Center
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $41
- Cash Discount Price: $33
- vs. Medicare Baseline: 10.43x 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 1043% of the Medicare baseline (a markup of 943%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $14 | 356% |
| Compalliance-All Plans | $33 | 840% |
| Health Partners Of Kansas-All Plans | $35 | 891% |
| Multiplan-All Plans | $40 | 1018% |
| Medicare (plans) | $41 | 1043% |
| Medicaid / KanCare | $41 | 1043% |
| Medica Mcare - All Plans | $41 | 1043% |
| Aetna | $41 | 1043% |
| UnitedHealthcare | $41 | 1043% |
| Health Choice-All Plans | $41 | 1043% |
| Healthy Blue Mcr Adv - All Other Plans | $41 | 1043% |
| Providers Care (Wppa)-All Plans | $62 | 1578% |
Consumer Guidance & Cost Commentary
For the CPT code 82947, representing a blood test for glucose, Ashland Health Center in Ashland, KS, has a gross charge of $41.00. This amount aligns with the median negotiated rate of $41.00 and the median paid amount of $41.00 across 12 payers, including Blue Cross Blue Shield and UnitedHealthcare. While the facility offers a cash median price of $33.00, which is lower than the negotiated rates, patients with high-deductible plans should verify if their specific insurance allows them to pay the cash price directly, as this can sometimes result in lower out-of-pocket costs compared to the insurance negotiated rate. 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 confirm their network status and ask the hospital specifically about "self-pay" or "prompt-pay" discounts before scheduling, as these can reduce the final bill.
The facility's pricing is benchmarked against Medicare, which sets a fixed reimbursement rate of $3.93 for this service. The gross charge of $41.00 represents a significant markup relative to the Medicare amount, illustrating the difference between federal cost-based rates and commercial pricing structures. Since over 80% of hospital bills often contain errors, patients are encouraged to request an itemized billing audit to identify any unbundled codes or services not rendered before finalizing payment. Additionally, because commercial negotiated rates often include administrative overhead that can inflate the baseline price by 20% to 40%, patients should compare the facility's rates against state or county averages to ensure