Blood test, glucose (blood sugar)
Facility: Kiowa District Hospital
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $37
- Cash Discount Price: $31
- vs. Medicare Baseline: 9.41x 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 941% of the Medicare baseline (a markup of 841%). 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 |
|---|---|---|
| Healthchoice-All Plans | $6 | 153% |
| Blue Cross Blue Shield | $9 | 229% |
| Tricare | $15 | 382% |
| UnitedHealthcare | $31 - $39 | 789% |
| Health Partners Of Ks-All Plans | $34 | 865% |
| Humana | $35 | 891% |
| Aetna | $37 | 941% |
| Medicare (plans) | $37 | 941% |
| Multiplan-All Plans | $37 | 941% |
| Triwest-All Plans | $37 | 941% |
| Gbs Insurance - All Plans | $37 | 941% |
| Medicaid / KanCare | $39 | 992% |
| Providers Care (Wppa)-All Plans | $58 | 1476% |
| Liberty Healthshare-All Plans | $63 | 1603% |
Consumer Guidance & Cost Commentary
For the CPT code 82947, representing a blood test for glucose, the facility's cash median rate is $31.00, which is lower than the negotiated rates paid by most insurance payers. While the facility's cash price is notably lower than the gross charge of $39.00, patients should be aware that commercial negotiated rates often exceed cash prices due to administrative overhead and contract structures. For individuals with high-deductible plans, paying the cash price of $31.00 upfront may result in lower out-of-pocket costs compared to the $37.00 median negotiated rate, provided the patient's deductible has not yet been met. It is advisable to confirm with the hospital's billing department regarding "self-pay" or "prompt-pay" discounts, which can further reduce the final amount owed.
When evaluating the cost of this service, it is important to compare rates against the Medicare benchmark rather than the facility's gross chargemaster list. The Medicare amount for this procedure is $3.93, and commercial negotiated rates typically average between 200% and 300% of this baseline, whereas fair pricing is generally defined as 120% to 150%. In this instance, the negotiated rates range from $6.00 to $63.00 across 14 different payers, with the highest negotiated rate reaching $63.00 for Liberty Healthshare. Patients should verify their specific plan's allowed amount before scheduling to avoid balance billing, as the No Surprises Act protects against unexpected out-of-network charges at in-network facilities.