CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Jewell County Hospital

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $55
  • Cash Discount Price: $43
  • vs. Medicare Baseline: 13.99x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Jewell County Hospital is $55. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $43. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 13.99x the Medicare baseline. Located in 100 Crestvue Ave, Mankato, KS.
Cash / Self-Pay
$43

Average discount available for prompt cash payment at this facility.

Insurance Median
$55

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$3.93

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3.93 (100%)
Cash / Self-Pay: $43 (1094%)
Insurance Median: $55 (1399%)
Cash: $43 (1094% of Medicare)
Ins. Median: $55 (1399% of 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 1399% of the Medicare baseline (a markup of 1299%). 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Rural Carriers - All Plans $49 1247%
Aetna $52 1323%
Meritain - All Plans $52 1323%
Cigna $55 1399%
UnitedHealthcare $55 1399%
First Health - All Plans $55 1399%
Midlands Choice - All Plans $55 1399%

Consumer Guidance & Cost Commentary

For the blood glucose test (CPT 82947) at Jewell County Hospital in Mankato, KS, the facility's cash price of $43.00 is lower than the state average of $55.00, making it a potentially cost-effective option for patients with high-deductible plans who may not have insurance coverage or who have already met their deductible. While the facility's negotiated rate with insurance carriers is $55.00, which matches the state average, this amount is still higher than the cash price. Because commercial insurance contracts often include administrative overhead and do not reflect the actual cost of care, paying cash directly can sometimes result in significant savings compared to using an in-network plan, provided the patient has no remaining deductible balance.

It is important to note that the facility's cash rate of $43.00 is also lower than the Medicare benchmark of $3.93, which serves as the federal baseline for hospital pricing; however, commercial rates typically range from 120% to 150% of Medicare for fair pricing, while this facility's cash rate is significantly below that threshold. Patients should verify if the hospital offers "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% when paid upfront, bypassing the administrative costs associated with insurance claims. Before scheduling, consumers are encouraged to request an itemized bill to ensure no errors exist and to confirm whether any ancillary services might trigger balance billing, though the No Surprises Act protects against such charges for out-of-network providers at in-network facilities.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 Crestvue Ave, Mankato, KS 66956
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals