Blood test, glucose (blood sugar)
Facility: F W Huston Medical Center
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $22
- Cash Discount Price: $26
- vs. Medicare Baseline: 5.60x 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 560% of the Medicare baseline (a markup of 460%). 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 | $9 | 229% |
| Aetna | $20 - $29 | 509% |
| Humana | $21 - $31 | 534% |
| Cigna | $22 - $33 | 560% |
Consumer Guidance & Cost Commentary
For the CPT code 82947, representing a blood glucose test at F W Huston Medical Center in Winchester, KS, the cash median price is $26.00, which is $2.07 lower than the facility's negotiated median rate of $28.00. This cash price is notably lower than the state average for this service, offering a potential savings for patients who do not have insurance or have high-deductible plans where the insurance allowed amount might exceed the cash price. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should verify their specific plan's allowed amount before scheduling, as commercial negotiated rates can sometimes be higher than the direct cash price due to administrative overheads included in insurance contracts.
Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network services at in-network facilities, it is crucial to request an itemized bill to ensure no unbundled charges or services not rendered are included. If you receive a summary bill, you should demand a full CPT-coded statement to identify any errors, as over 80% of hospital bills contain mistakes that can be corrected through a formal written audit dispute. Additionally, since the cash median is $26.00, you may qualify for a prompt-pay discount by paying the full amount upfront, which could further reduce your out-of-pocket costs compared to the standard cash rate or the higher negotiated rates charged to insured members.