Blood test, glucose (blood sugar)
Facility: Mercy Hospital Columbus
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $59
- Cash Discount Price: $53
- vs. Medicare Baseline: 15.01x 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 1501% of the Medicare baseline (a markup of 1401%). 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 |
|---|---|---|
| Humana | $4 - $77 | 102% |
| UnitedHealthcare | $4 - $67 | 102% |
| Medicare (plans) | $4 - $61 | 102% |
| Blue Cross Blue Shield | $4 - $59 | 102% |
| Medicaid / KanCare | $4 - $59 | 102% |
| Insurance System Inc Contracted [320465] | $35 | 891% |
| Health Systems Inc Contracted [320174] | $35 | 891% |
| Administrative Payor Contracted [320005] | $36 | 916% |
| Cigna | $59 | 1501% |
| Novasys Contracted [320285] | $59 | 1501% |
| Aetna | $59 - $73 | 1501% |
| Globalhealth Contracted [320145] | $59 | 1501% |
| Halo Hcr Inc Hospice [20432] | $59 | 1501% |
| Centurion Of Missouri [20459] | $59 | 1501% |
| Cherokee Nation Health Serv Contracted [320066] | $59 | 1501% |
| Elara Caring Aspire Hospice [20433] | $59 | 1501% |
| Provider Partners Health Plans Contracted [320450] | $59 | 1501% |
| Home State Health Plan Contracted [320187] | $59 | 1501% |
| Mercy Mgd Behavioral Health Contracted [320259] | $59 | 1501% |
| Medical Associates Health Contracted [320444] | $59 | 1501% |
| Indian Health Service Contracted [320198] | $59 | 1501% |
| Cross Timbers Hospice [20098] | $59 | 1501% |
| Pace Of The Ozarks Contracted [320518] | $59 | 1501% |
| Ambetter / Centene | $59 | 1501% |
| Qual Choice Contracted [320325] | $59 | 1501% |
| Mercy Hospice Okc [20252] | $59 | 1501% |
| Kindful Hospice [20434] | $59 | 1501% |
| Tricare | $59 | 1501% |
| Dept Of Veteran Affairs Contracted [320106] | $59 | 1501% |
| Kindful Hospice Contracted [320434] | $59 | 1501% |
| Halo Hcr Inc Hospice Contracted [320432] | $59 | 1501% |
| Healthscope Contracted [320182] | $62 | 1578% |
| Workers Comp [20426] | $65 - $69 | 1654% |
| United Medical Resources Contracted [320454] | $67 - $77 | 1705% |
| Medica Contracted [320239] | $73 | 1858% |
| First Health Contracted [320128] | $73 | 1858% |
| Usa Managed Care Org Contracted [320429] | $73 | 1858% |
| Healthlink Contracted [320179] | $73 - $77 | 1858% |
| Mercy Benefit Admin Contracted [320251] | $73 - $77 | 1858% |
| American Healthcare Alliance Contracted [320020] | $73 | 1858% |
| Federal Medical Center Contracted [320127] | $73 | 1858% |
| Preferred Health Plan Contracted [320522] | $73 | 1858% |
| Private Health Care Systems Contracted [320320] | $77 | 1959% |
| Aither Health Contracted [320449] | $77 | 1959% |
| Reflect Health Contracted [320492] | $77 | 1959% |
| Imagine 360 Contracted [320494] | $77 | 1959% |
| Yuzu Health Contracted [320521] | $77 | 1959% |
| Edison Health Solutions Contracted [320502] | $77 | 1959% |
| Ebms Contracted [320493] | $77 | 1959% |
| Show-Me Health Administrators Contracted [320483] | $77 | 1959% |
| Auxiant Contracted [320462] | $77 | 1959% |
| Ppo Plus Contracted [320310] | $77 | 1959% |
| Point C Contracted [320238] | $77 | 1959% |
| Benefit Management Contracted [320052] | $77 | 1959% |
| 90 Degree Benefits Contracted [320436] | $77 | 1959% |
Consumer Guidance & Cost Commentary
For this blood glucose test at Mercy Hospital Columbus, the facility's cash price of $53.00 is notably lower than the state average of $81.00 and significantly below the median negotiated rate of $59.00. While many commercial payers have negotiated rates ranging from $4 to $77, the cash price offers a distinct advantage for patients with high-deductible plans or those without insurance, as it bypasses the administrative overhead and markup associated with insurance billing cycles. Patients should proactively request "self-pay" or "prompt-pay" discounts before scheduling, as paying in full upfront can often secure a fee reduction of 20% to 50%, effectively lowering the cost further than the listed cash rate.
It is important to distinguish between the facility's gross charge of $81.00 and the actual amounts paid by insurers, which vary widely depending on the specific plan. Although the Medicare benchmark of $3.93 serves as a baseline for cost, commercial negotiated rates frequently exceed this by a significant margin due to administrative structures and contract dynamics. If you are using insurance, be aware that balance billing could occur if out-of-network ancillary services are rendered, though federal protections like the No Surprises Act may limit these charges for emergency care. To ensure you are receiving fair pricing, always request a detailed, itemized bill rather than accepting a summary invoice, and verify your deductible status before proceeding to avoid unexpected out-of-pocket expenses.