CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Clara Barton Hospital

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $27
  • Cash Discount Price: $25
  • vs. Medicare Baseline: 6.87x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Clara Barton Hospital is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 6.87x the Medicare baseline. Located in 250 W 9Th Street, Hoisington, KS.
Cash / Self-Pay
$25

Average discount available for prompt cash payment at this facility.

Insurance Median
$27

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$3.93

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3.93 (100%)
Cash / Self-Pay: $25 (636%)
Insurance Median: $27 (687%)
Cash: $25 (636% of Medicare)
Ins. Median: $27 (687% of 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 687% of the Medicare baseline (a markup of 587%). 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.

Input your details and click calculate to compare out-of-pocket costs.

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 $9 229%
6 Degrees Health - All Plans $20 - $29 509%
Wppa-All Plans $23 - $34 585%
Aetna $26 - $38 662%
Phcs - All Plans $26 - $38 662%
UnitedHealthcare $26 - $38 662%
Hlth Partners Of Ks-All Plans $27 - $39 687%

Consumer Guidance & Cost Commentary

For the glucose blood test (CPT 82947) at Clara Barton Hospital in Hoisington, KS, the facility's cash median price is $25.00, which is lower than the state average of $26.00. While the hospital's negotiated rates for major payers like Aetna and UnitedHealthcare range between $26.00 and $38.00, patients with high-deductible plans may find the cash price more advantageous if their insurance allowed amount exceeds $25.00. It is important to note that the facility's negotiated rates are significantly higher than the Medicare benchmark of $3.93, reflecting standard commercial pricing structures where administrative costs and contract dynamics often inflate the baseline price well above the federal cost basis.

To maximize savings, patients should proactively request "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the bill by 20% to 50% by bypassing costly insurance claims processing. Although the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, it is crucial to verify that all ancillary services, such as specific lab components, are covered under the facility's network agreements. If a discrepancy arises, consumers should demand a full itemized CPT-coded bill rather than accepting a summary invoice, ensuring that no unbundled charges or services not rendered are included in the final amount owed.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 250 W 9Th Street, Hoisington, KS 67544
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals