Blood test, glucose (blood sugar)
Facility: Wichita County Health Center
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $23
- Cash Discount Price: $20
- vs. Medicare Baseline: 5.85x 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 585% of the Medicare baseline (a markup of 485%). 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 |
|---|---|---|
| Medicaid / KanCare | $21 | 534% |
| UnitedHealthcare | $25 | 636% |
Consumer Guidance & Cost Commentary
For this blood glucose test at Wichita County Health Center in Leoti, Kansas, the facility's cash price of $20.00 is lower than the state average for this procedure. While Medicaid/KanCare and UnitedHealthcare have negotiated rates of $21.00 and $25.00 respectively, the cash rate remains the most affordable option for self-pay patients. Because commercial insurance negotiated rates often include administrative overhead and can exceed cash prices, patients with high-deductible plans may save money by paying the cash rate directly, provided they confirm the facility accepts their insurance for this specific service.
To ensure you are receiving the best possible rate, it is important to distinguish between the facility's gross charge and the actual amount billed. The Medicare benchmark for this code is $3.93, which serves as a cost baseline; the facility's cash price of $20.00 represents a significant markup over this federal rate, a common practice in commercial billing. Before scheduling, patients should explicitly request a "self-pay" or "prompt-pay" discount, which can reduce the final bill by 20% to 50% if paid in full upfront. Additionally, if you receive a summary bill, always demand a full itemized statement to verify that no unbundled codes or services not rendered have inflated your total.