Blood test, glucose (blood sugar)
Facility: Trego County Lemke Memorial Hospital
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $12
- Cash Discount Price: $12
- vs. Medicare Baseline: 3.05x 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 305% of the Medicare baseline (a markup of 205%). 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 | $7 | 178% |
| Tricare | $7 | 178% |
| Medicaid / KanCare | $9 - $14 | 229% |
| UnitedHealthcare | $9 - $14 | 229% |
| Aetna | $9 - $13 | 229% |
| Ambetter / Centene | $10 | 254% |
| Blue Cross Blue Shield | $12 | 305% |
| Health Partners - All Plans | $13 | 331% |
| Healthy Blue Mcaid - All Plans | $14 | 356% |
Consumer Guidance & Cost Commentary
For the CPT code 82947, representing a blood glucose test at Trego County Lemke Memorial Hospital, the facility's cash median price is $12.00, which is lower than the gross charge of $14.00. While the facility is a Critical Access Hospital in Wakeeney, KS, with government-local ownership, the negotiated rates vary significantly by insurer, ranging from $7.00 for Humana and Tricare to $14.00 for Healthy Blue Medicaid. It is important to note that for patients with high-deductible plans, paying the cash price of $12.00 upfront can sometimes be more cost-effective than relying on insurance, as the negotiated rates for many payers exceed this amount. Patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront incentives can further reduce the final cost by bypassing administrative billing cycles.
When evaluating the cost of this service, it is crucial to compare rates against the Medicare benchmark rather than the facility's inflated chargemaster list. The Medicare amount for this procedure is $3.93, meaning the facility's cash price of $12.00 represents a significant markup above the federal baseline. Commercial negotiated rates often average 200% to 300% of Medicare, though fair pricing is typically defined as 120% to 150% of this rate. Additionally, patients should be aware of the risk of balance billing if they receive care from out-of-network providers, even at an in-network facility, where the provider could bill for the difference between their full rate and the insurance allowed amount. To avoid