Blood test, glucose (blood sugar)
Facility: Decatur Health
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $13
- Cash Discount Price: $15
- vs. Medicare Baseline: 3.31x 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 331% of the Medicare baseline (a markup of 231%). 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 |
|---|---|---|
| Humana | $10 | 254% |
| Wppa/Providrs Care- All Plans | $10 | 254% |
| UnitedHealthcare | $10 - $12 | 254% |
| Blue Cross Blue Shield | $11 | 280% |
| Midlands Choice- All Plans | $15 | 382% |
| Aetna | $15 - $16 | 382% |
| Medicaid / KanCare | $17 | 433% |
Consumer Guidance & Cost Commentary
For this blood glucose test at Decatur Health in Oberlin, Kansas, the cash price is $15.00, which is slightly lower than the state average of $16.00. While commercial insurance plans like Humana and UnitedHealthcare negotiate rates ranging from $10 to $17, these amounts often exceed the cash price due to administrative costs and contract structures. Patients with high-deductible plans may find it financially advantageous to pay the $15.00 cash rate directly, as this avoids the higher negotiated amounts that insurers charge, provided the patient's out-of-pocket maximum is not yet reached. It is important to verify with the facility whether "self-pay" or "prompt-pay" discounts are available, as paying upfront can sometimes yield additional savings beyond the standard cash rate.
The Medicare benchmark for this service is $3.93, which serves as a baseline for evaluating the facility's pricing; the cash rate of $15.00 represents a significant markup over this federal standard, a common practice in commercial healthcare. Because over 80% of hospital bills contain errors, patients should request a full itemized bill to ensure no charges for services not rendered or unbundled codes are included. If a balance bill arises from an out-of-network ancillary service, the No Surprises Act may protect the patient from paying the difference, so disputing unexpected charges with the insurer is a critical first step. Always confirm your deductible status before scheduling, as paying the full negotiated rate without meeting your deductible can result in substantial out-of-pocket costs.