Blood test, glucose (blood sugar)
Facility: Stanton County Hospital
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $52
- Cash Discount Price: $38
- vs. Medicare Baseline: 13.23x 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 1323% of the Medicare baseline (a markup of 1223%). 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 - $230 | 204% |
| Healthy Blue Mcr Adv - All Other Plans | $51 - $238 | 1298% |
| Healthy Blue Mcaid | $52 - $207 | 1323% |
Consumer Guidance & Cost Commentary
For the CPT code 82947, representing a blood test for glucose, Stanton County Hospital lists a cash price of $38.00, which matches the facility's median negotiated rate of $52.00 and the state average of $51.00. While the facility is a Critical Access Hospital in Johnson, KS, with government ownership, the cash price is notably lower than the median negotiated rate of $52.00 and the state average of $51.00. This suggests that paying out-of-pocket may be more cost-effective than using insurance, as commercial payers like Blue Cross Blue Shield and Healthy Blue plans have negotiated rates ranging from $51.00 to $238.00, which often exceed the cash price due to administrative overhead and contract structures.
Patients should be aware that balance billing is generally prohibited for emergency services at in-network facilities under the No Surprises Act, but it is crucial to verify network status before scheduling non-emergency tests. If you choose to use insurance, be prepared for the facility to bill you for the difference between the negotiated rate and what your plan pays, though the No Surprises Act protects you from surprise bills for out-of-network providers at in-network hospitals. To minimize costs, consider requesting a prompt-pay discount or self-pay rate directly from the hospital before your visit, as paying in full upfront can often bypass the higher administrative costs associated with insurance claims processing. Always ask for an itemized bill to ensure no unbundled charges or services not rendered are included in your final statement.