Blood test, glucose (blood sugar)
Facility: St Luke Hospital & Living Center
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $20
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 5.09x 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 509% of the Medicare baseline (a markup of 409%). 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 |
|---|---|---|
| Bluestem Pace | $20 | 509% |
| Blue Cross Blue Shield | $20 | 509% |
| Va Ccn | $20 | 509% |
| UnitedHealthcare | $20 | 509% |
| Humana | $20 | 509% |
| Kansas Department Of Health And Environment | $20 | 509% |
| Ambetter / Centene | $21 | 534% |
Consumer Guidance & Cost Commentary
For the blood glucose test at St Luke Hospital & Living Center in Marion, KS, the negotiated rates across seven major payers are consistently set at $20.00, which aligns exactly with the facility's median negotiated rate. This price is significantly higher than the Medicare benchmark of $3.93, reflecting the standard administrative markup associated with commercial insurance contracts. While the facility's gross charge is $40.00, patients with high-deductible plans should be aware that paying cash upfront may result in lower out-of-pocket costs, as the cash price often falls below the insurance negotiated rate. To secure the best possible price, patients should explicitly request "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the total bill by 20% to 50% by bypassing costly claims processing fees.
It is important to note that this facility is a Critical Access Hospital owned by a Government Hospital District, and while the data does not provide specific cash or median paid figures, the uniformity of the $20.00 negotiated rate across all listed plans suggests a standardized pricing structure for in-network members. Patients should avoid accepting summary bills without requesting a full itemized statement to ensure no unbundled codes or services not rendered are included in the final charge. Furthermore, under the No Surprises Act, balance billing for out-of-network services at this in-network facility is prohibited for emergency care and non-emergency services, protecting patients from unexpected additional charges. Always verify your specific plan's deductible status before proceeding, as the negotiated rate applies only after that threshold is met.