Blood test, glucose (blood sugar)
Facility: Nemaha Valley Community Hospital
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $9
- Cash Discount Price: $19
- vs. Medicare Baseline: 2.29x 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 229% of the Medicare baseline (a markup of 129%). 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 |
|---|---|---|
| Va Ccn - All Plans | $1 | 25% |
| Humana | $4 - $14 | 102% |
| Aetna | $4 - $27 | 102% |
| Celtic Comm Exch - All Plans | $5 - $15 | 127% |
| Partners Direct Health - All Plans | $5 - $17 | 127% |
| Multiplan - All Plans | $8 - $29 | 204% |
| Health Partners - All Plans | $9 - $30 | 229% |
| Midlands Choice - All Plans | $9 - $30 | 229% |
Consumer Guidance & Cost Commentary
For the blood glucose test at Nemaha Valley Community Hospital in Seneca, KS, the cash median price is $19.00, which is notably lower than the facility's negotiated rates of $9.00 and the Medicare benchmark of $3.93. While commercial payers like Humana and Aetna have negotiated rates ranging from $4 to $27, patients with high-deductible plans may find paying cash directly more cost-effective if their insurance allowed amount exceeds the cash price. Because this facility is a Critical Access Hospital, it is important to verify whether your specific plan covers this service, as some plans may require you to pay the full negotiated rate before reimbursement.
To ensure you are not overcharged, always request an itemized bill before finalizing payment, as summary bills often hide unbundled codes or services not rendered. If you receive a balance bill for out-of-network ancillary services, remember that the No Surprises Act generally protects you from paying the difference between the provider's chargemaster and your insurance allowed amount for emergency or non-emergency care at in-network facilities. Additionally, ask the hospital about prompt-pay discounts, which can reduce the total cost by 20% to 50% if you settle the account in full upfront, bypassing the administrative costs associated with insurance claims processing.