Blood test, glucose (blood sugar)
Facility: Hamilton County Hospital
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $45
- Cash Discount Price: $50
- 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 |
|---|---|---|
| Blue Cross Blue Shield | $4 - $9 | 102% |
| First Health Coventry - All Plans | $42 | 1069% |
| UnitedHealthcare | $47 | 1196% |
| Cigna | $47 | 1196% |
| Va Ccn - All Plans | $50 | 1272% |
| Aetna | $85 | 2163% |
Consumer Guidance & Cost Commentary
For the CPT code 82947, representing a blood glucose test, Hamilton County Hospital in Syracuse, KS, lists a cash price of $50.00. This cash rate is identical to the facility's negotiated rates with several major payers, including Blue Cross Blue Shield, First Health Coventry, UnitedHealthcare, Cigna, and the VA, all of which pay $47.00 to $50.00 depending on the specific plan. However, Aetna negotiates a higher rate of $85.00 for the same service. When compared to the national average for this procedure, the facility's cash price is 11.5% higher than the Medicare benchmark of $3.93. While commercial negotiated rates often exceed cash prices due to administrative overhead, patients with high-deductible plans may find that paying the full cash price of $50.00 upfront is more cost-effective than facing a balance bill if their insurance allows a higher negotiated rate than the cash amount.
Patients should be aware that hospitals frequently offer prompt-pay discounts, typically ranging from 20% to 50%, for those who settle their bill in full within 30 days. Since the facility's cash price is already competitive with many in-network negotiated rates, requesting a prompt-pay discount before scheduling could further reduce the final cost. It is important to verify the exact discount percentage with the hospital's billing department prior to check-in, as these rates are not automatically applied to insurance claims. Additionally, because the facility is a Critical Access Hospital owned by the local government, patients should confirm whether the $50.00 cash rate includes any additional fees or if a