Blood test, glucose (blood sugar)
Facility: Phillips County Hospital
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $25
- Cash Discount Price: $26
- vs. Medicare Baseline: 6.36x 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 636% of the Medicare baseline (a markup of 536%). 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 | $5 - $25 | 127% |
| UnitedHealthcare | $5 - $31 | 127% |
| Medicaid / KanCare | $6 - $31 | 153% |
| Health Partners-All Plans | $6 - $31 | 153% |
Consumer Guidance & Cost Commentary
For the CPT code 82947, representing a blood glucose test at Phillips County Hospital in Phillipsburg, Kansas, the facility's cash median price is $26.00, which is slightly lower than the state average of $26.00. While the hospital's negotiated rates range from $5.00 to $31.00 depending on the payer, these amounts are generally higher than the Medicare benchmark of $3.93. This discrepancy highlights that commercial insurance contracts often include administrative overhead and network tiering that can inflate the final cost compared to the federal baseline. Patients with high-deductible plans may find that paying the cash price of $26.00 upfront is more cost-effective than relying on insurance, which could result in a negotiated rate exceeding the cash amount before deductibles are met.
To minimize out-of-pocket expenses, it is advisable to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full before or shortly after the service. Additionally, since over 80% of hospital bills contain errors, patients should request a detailed, itemized statement rather than accepting a summary invoice. If a balance bill arises from an out-of-network service, the No Surprises Act may provide protection against unexpected charges. By comparing the facility's rates against the Medicare benchmark and actively seeking cash discounts or reviewing the itemized bill, consumers can ensure they are paying a fair price for this essential laboratory service.