Blood test, glucose (blood sugar)
Facility: Rooks County Health Center
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $45
- Cash Discount Price: $37
- vs. Medicare Baseline: 11.45x 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 1145% of the Medicare baseline (a markup of 1045%). 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 |
|---|---|---|
| Veterans Admin - All Plans | $2 | 51% |
| Blue Cross Blue Shield | $9 | 229% |
| Celtic Mcr Adv | $23 | 585% |
| Tricare | $23 | 585% |
| Celtic Comm - All Other Plans | $26 | 662% |
| Aetna | $45 | 1145% |
| Preferred Benefits Admin | $45 | 1145% |
| UnitedHealthcare | $45 | 1145% |
| Preferred Hlthcare - All Other Plans | $47 | 1196% |
| Health Partners - All Plans | $47 | 1196% |
| Healthy Blue Mcaid - All Plans | $50 | 1272% |
Consumer Guidance & Cost Commentary
For the blood glucose test (CPT 82947) at Rooks County Health Center in Plainville, Kansas, the cash price is $37.00, which is lower than the facility's negotiated rates of $45.00 and the state average of $45.00. While the facility's cash rate is also lower than the national average of $50.00, patients with high-deductible plans may find the cash price more affordable if their insurance negotiated rate exceeds $37.00. Because the facility is a Critical Access Hospital owned by a Government Hospital District, it is important to verify whether your specific insurance plan covers this service and to confirm if the negotiated rate applies before scheduling.
Patients should be aware that commercial insurance rates often include administrative costs and contract markups that can make them higher than cash prices, even for in-network services. If you choose to pay out-of-pocket, ask the billing department about "self-pay" or "prompt-pay" discounts, which can further reduce the cost. Additionally, if you have insurance, ensure you request an itemized bill to review every charge, as summary bills may hide unbundled codes or services not rendered. Given that over 80% of hospital bills contain errors, reviewing the detailed statement line-by-line is the most effective way to identify and dispute any inaccuracies before payment.