CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Hospital District #6 Patterson Health Center

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $27
  • Cash Discount Price: $24
  • vs. Medicare Baseline: 6.87x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Hospital District #6 Patterson Health Center is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 6.87x the Medicare baseline. Located in 485 N. Ks Hwy 2, Anthony, KS.
Cash / Self-Pay
$24

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: $24 (611%)
Insurance Median: $27 (687%)
Cash: $24 (611% 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 $8 - $9 204%
UnitedHealthcare $27 - $30 687%
Providers Care (Wppa)-All Plans $52 1323%

Consumer Guidance & Cost Commentary

For the glucose blood test (CPT 82947) at Hospital District #6 Patterson Health Center in Anthony, KS, the facility's cash median rate is $24.00, which is lower than the state average of $27.00. While the facility's median negotiated rate is $27.00, this amount exceeds the cash price, meaning patients with high-deductible plans or those without insurance might save money by paying the cash rate directly. It is important to note that the facility's negotiated rate is also higher than the Medicare benchmark of $3.93, illustrating how commercial rates can significantly markup the federal baseline. Patients should verify their specific plan's deductible status before relying on insurance, as paying the negotiated rate may result in out-of-pocket costs if the deductible has not yet been met.

To maximize savings, patients should inquire about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50%. Since hospitals often charge different rates for in-network versus out-of-network services, it is crucial to confirm the exact allowed amount for your specific plan rather than assuming the negotiated rate is the lowest possible price. Additionally, if you receive an itemized bill, request a full line-by-line audit to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain inaccuracies that can be corrected. Always check with the hospital directly for available discounts before finalizing payment.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 485 N. Ks Hwy 2, Anthony, KS 67003
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals