Blood test, glucose (blood sugar)
Facility: Great Plains Of Sabetha
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $17
- Cash Discount Price: $20
- vs. Medicare Baseline: 4.33x 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 433% of the Medicare baseline (a markup of 333%). 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 |
|---|---|---|
| Celtic Mcr Adv | $4 - $10 | 102% |
| Medicaid / KanCare | $4 - $20 | 102% |
| Aetna | $4 - $20 | 102% |
| UnitedHealthcare | $4 - $20 | 102% |
| Celtic Comm Exchange-All Other Plans | $5 - $13 | 127% |
| Blue Cross Blue Shield | $8 - $20 | 204% |
| Great West Healthcare-All Plans | $17 | 433% |
| Century/Wppa/Providers-All Plans | $18 - $19 | 458% |
| Multiplan-Phcs-All Plans | $19 | 483% |
| Federated Mutual Ins-All Plans | $19 | 483% |
| Humana | $19 | 483% |
| Cigna | $19 | 483% |
Consumer Guidance & Cost Commentary
For the CPT code 82947, representing a blood glucose test at Great Plains of Sabetha, the facility's cash median price is $20.00, which matches the gross charge listed. This cash rate is notably higher than the state of Kansas average, which is $18.00, and also exceeds the facility's own median negotiated rate of $17.00. While commercial payers like Aetna and UnitedHealthcare have negotiated rates ranging from $4 to $20, patients with high-deductible plans may find paying the $20.00 cash price directly more cost-effective than relying on insurance, as the negotiated amounts often exceed the cash price. It is advisable to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available, as these upfront payment incentives can significantly reduce the final amount owed.
The Medicare benchmark for this service is $3.93, providing a clear baseline for evaluating the facility's pricing markup. The facility's cash rate of $20.00 represents a substantial increase over the federal government's calculated cost, highlighting the difference between the true cost of care and commercial pricing. Because the No Surprises Act prohibits balance billing for out-of-network services at in-network facilities, patients should be cautious of unexpected bills if they receive care from out-of-network providers. If a patient receives an itemized bill that appears inflated, they should request a full line-by-line audit to identify any unbundled codes or services not rendered, ensuring they are only paying for the actual care provided.