Blood test, glucose (blood sugar)
Facility: Wilson Medical Center
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $30
- Cash Discount Price: $29
- vs. Medicare Baseline: 7.63x 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 763% of the Medicare baseline (a markup of 663%). 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 - $38 | 229% |
| Tricare | $20 | 509% |
| Aetna | $20 - $38 | 509% |
| Ambetter / Centene | $20 - $38 | 509% |
| UnitedHealthcare | $20 - $35 | 509% |
| Humana | $20 | 509% |
| Cigna | $30 | 763% |
| Health Partners-All Plans | $35 | 891% |
| Mulitplan-All Plans | $35 | 891% |
Consumer Guidance & Cost Commentary
For the CPT code 82947, representing a blood glucose test at Wilson Medical Center in Neodesha, KS, the facility's cash median price is $29.00, which is lower than the facility's negotiated median of $30.00. While the facility is a Critical Access Hospital owned by the local government, patients should be aware that commercial insurance negotiated rates vary significantly; for instance, Blue Cross Blue Shield plans pay as low as $9.00, whereas Cigna and Health Partners-All Plans pay the full $35.00. Because commercial negotiated rates often exceed cash prices due to administrative overhead and contract structures, 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.
The facility's pricing is also contextualized against federal benchmarks, where the Medicare amount for this service is $3.93. The facility's cash rate of $29.00 represents a 7.6x markup compared to the Medicare baseline, illustrating the significant difference between the government's cost-based reimbursement and commercial pricing models. Although specific county or state average data was not provided in the source material, the wide variance in payer payments—from $9.00 for some Blue Cross Blue Shield plans to $35.00 for others—highlights the importance of checking your specific plan's allowed amount. To ensure you are not overcharged, we recommend requesting an itemized bill to review the exact CPT codes and units charged, as summary bills often obscure these details, and confirming that no balance billing will occur for any out-of-network anc