Blood test, glucose (blood sugar)
Facility: Holton Community Hospital
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $15
- Cash Discount Price: $23
- vs. Medicare Baseline: 3.82x 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 382% of the Medicare baseline (a markup of 282%). 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 |
|---|---|---|
| Kansas Superior Select - All Plans | $8 - $25 | 204% |
| Aetna | $8 - $46 | 204% |
| Humana | $8 - $24 | 204% |
| UnitedHealthcare | $8 - $46 | 204% |
| Blue Cross Blue Shield | $9 | 229% |
| Preferred Health Professionals | $13 - $38 | 331% |
| Preferred Health Fn Select - All Other Plans | $13 - $38 | 331% |
| Preferred Health Freedom | $13 - $38 | 331% |
| Wppa Providers - All Plans | $14 - $43 | 356% |
| Medicaid / KanCare | $15 - $46 | 382% |
Consumer Guidance & Cost Commentary
For the blood glucose test at Holton Community Hospital, the facility's cash median price of $23.00 is notably higher than the state average of $13.00. While the hospital's negotiated rates range from $8 to $46 depending on the insurance plan, patients with high-deductible plans might find paying cash directly more cost-effective, as the cash price is lower than many commercial negotiated rates. It is important to note that commercial rates often include administrative overhead for claims processing, which can inflate the baseline price by 20% to 40% compared to direct payment.
To maximize savings, patients should inquire about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50%. Additionally, since the facility is a Critical Access Hospital in Kansas, its pricing is benchmarked against the federal Medicare rate of $3.93 for this procedure. The hospital's cash price of $23.00 represents a significant markup over the Medicare baseline, which serves as the objective cost standard for healthcare delivery. Consumers are advised to request an itemized bill to verify charges and avoid balance billing, particularly if services are rendered by out-of-network providers, though the No Surprises Act protects against such unexpected costs for emergency and non-emergency care at in-network facilities.