Blood test, glucose (blood sugar)
Facility: Hiawatha Community Hospital
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $37
- Cash Discount Price: $49
- 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 |
|---|---|---|
| Blue Cross Blue Shield | $8 - $9 | 204% |
| Aetna | $15 - $47 | 382% |
| Humana | $15 - $22 | 382% |
| UnitedHealthcare | $15 - $50 | 382% |
| Ambetter / Centene | $18 - $26 | 458% |
| Centrus Health Direct - All Plans | $30 - $44 | 763% |
| Oscar - All Plans | $30 - $44 | 763% |
| Preferred Hlth - All Plans | $36 - $52 | 916% |
| Cigna | $38 - $55 | 967% |
| Wppa Providrs Care - All Plans | $38 - $55 | 967% |
| Midlands Choice - All Plans | $39 - $56 | 992% |
| Multiplan - All Plans | $39 - $56 | 992% |
| Healthy Blue Mcaid - All Plans | $40 - $58 | 1018% |
Consumer Guidance & Cost Commentary
For the glucose blood test (CPT 82947) at Hiawatha Community Hospital in Hiawatha, KS, the cash price is $49.00, which matches the facility's cash median. This rate is significantly higher than the state average, as indicated by the 9.4% variance versus Medicare. While commercial insurance plans like Blue Cross Blue Shield and Aetna negotiate rates ranging from $8 to $58 depending on the specific plan, these negotiated amounts often exceed the cash price. Patients with high-deductible plans may find it financially advantageous to pay the $49.00 cash rate directly, as this avoids the administrative overhead and markup inherent in insurance billing cycles. It is recommended to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can further reduce the final cost.
To ensure you are receiving the most accurate pricing, request a full itemized bill that lists every specific CPT code and unit cost rather than accepting a summary invoice that obscures individual charges. This audit helps identify potential errors, unbundled services, or charges for items not rendered. Additionally, when evaluating the facility's pricing, compare the commercial negotiated rates against the Medicare benchmark of $3.93; commercial rates typically range from 200% to 300% of this baseline, whereas fair pricing is generally defined as 120% to 150%. By understanding these benchmarks and verifying your deductible status before scheduling, you can avoid unexpected balance billing and make informed decisions about your healthcare spending.