Blood test, glucose (blood sugar)
Facility: Stafford County Hospital
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $25
- Cash Discount Price: $26
- vs. Medicare Baseline: 6.36x 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 636% of the Medicare baseline (a markup of 536%). 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% |
| UnitedHealthcare | $1 | 25% |
| Health Partners-All Plans | $25 | 636% |
| Humana | $26 | 662% |
| Medica Mcr- All Plans | $26 | 662% |
Consumer Guidance & Cost Commentary
For this blood glucose test at Stafford County Hospital, the cash price is $26.00, which matches the median amount paid by insurance payers and the facility's negotiated rate. This price is significantly lower than the Medicare benchmark of $3.93, indicating a substantial markup relative to the federal government's cost-based reimbursement. While the facility is a Critical Access Hospital in Stafford, Kansas, and is owned by the local government, patients should be aware that cash payments can sometimes be more cost-effective than using insurance, particularly if the negotiated rate exceeds the cash price. It is always advisable to ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can further reduce the final bill for those paying out-of-pocket.
Patients should also be cautious regarding balance billing and billing errors. Although the No Surprises Act protects against surprise bills for emergency care and non-emergency services from out-of-network providers at in-network facilities, unexpected charges can still occur if ancillary services are billed separately. If you receive a bill, request a full itemized statement to verify that no services were double-billed or unbundled, as over 80% of hospital bills contain errors. Do not accept a summary bill as the final invoice; instead, dispute any discrepancies in writing to ensure you are only paying for the actual services rendered.