Blood test, glucose (blood sugar)
Facility: Kiowa County Memorial Hospital
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $45
- Cash Discount Price: $43
- 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 | $9 - $45 | 229% |
| UnitedHealthcare | $41 - $51 | 1043% |
| Aetna | $45 | 1145% |
| Medica Prime Mcare Cost-All Plans | $45 | 1145% |
| Celtic Comml Exchange-All Other Plans | $45 | 1145% |
| Health Partners Of Ks-All Plans | $45 | 1145% |
| Humana | $45 | 1145% |
| Medicaid / KanCare | $51 | 1298% |
| Providrs Care/Wppa-All Plans | $76 | 1934% |
Consumer Guidance & Cost Commentary
For the CPT code 82947, representing a blood glucose test, Kiowa County Memorial Hospital in Greensburg, KS, lists a gross charge of $51.00. While the facility's cash median is $43.00, which is lower than the negotiated rates paid by most major insurers, patients should be aware that commercial insurance contracts often result in higher out-of-pocket costs due to administrative overhead and contract dynamics. The negotiated rates range from $9 to $76 across nine payers, with most plans settling at $45.00, which aligns with the facility's median negotiated amount. Because commercial rates frequently exceed cash prices, individuals with high-deductible plans may find it financially advantageous to pay the cash price directly, provided they verify the facility's "self-pay" or "prompt-pay" discounts before scheduling.
To ensure you are not overcharged, it is critical to request an itemized billing audit rather than accepting a summary bill, as over 80% of hospital invoices contain errors such as unbundled codes or services not rendered. Additionally, while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, unexpected charges can still occur if ancillary services are billed separately. For transparency, this service's Medicare benchmark is $3.93, serving as a scientifically validated baseline for the true cost of care. Commercial rates are often significantly higher than this benchmark; for instance, the highest negotiated rate of $76.00 represents a substantial markup compared to the federal standard, highlighting the importance of comparing facility rates against Medicare rather than the inflated chargemaster list.