Blood test, glucose (blood sugar)
Facility: Cloud County Health Center
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $61
- Cash Discount Price: $45
- vs. Medicare Baseline: 15.52x 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 1552% of the Medicare baseline (a markup of 1452%). 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 |
|---|---|---|
| Aetna | $58 - $60 | 1476% |
| Health Partners - All Plans | $61 | 1552% |
| Pponext-All Plans | $61 | 1552% |
| Mpi-All Plans | $61 | 1552% |
Consumer Guidance & Cost Commentary
For this blood glucose test at Cloud County Health Center in Concordia, KS, the facility's cash median rate of $45.00 is lower than the state average, which sits at $61.00. While most major payers, including Aetna, Health Partners, and Mpi, have negotiated rates of $61.00, patients with high-deductible plans might find paying the cash price directly more cost-effective if their insurance allowed amount exceeds this figure. It is important to note that while the facility is a Critical Access Hospital owned by a voluntary non-profit, the cash rate does not automatically guarantee the lowest possible cost; patients should explicitly ask about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront incentives can further reduce the final bill.
The data indicates that the facility's negotiated rates align with the median paid amount of $61.00, which is notably higher than the Medicare benchmark of $3.93. This significant difference highlights how commercial rates can be marked up compared to the federal government's cost-based reimbursement. If you receive a bill that includes charges for services not rendered or items that should be bundled, you should request a full itemized audit rather than accepting a summary bill. Additionally, under the No Surprises Act, you are protected from balance billing for out-of-network services at in-network facilities, so if you encounter a surprise bill, you should dispute it in writing with the insurer rather than paying immediately out of fear of credit damage.