CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Lincoln County Hospital

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $9
  • Cash Discount Price: $39
  • vs. Medicare Baseline: 2.29x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Lincoln County Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $39. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 2.29x the Medicare baseline. Located in 624 N Second, Lincoln, KS.
Cash / Self-Pay
$39

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$3.93

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3.93 (100%)
Cash / Self-Pay: $39 (992%)
Insurance Median: $9 (229%)
Cash: $39 (992% of Medicare)
Ins. Median: $9 (229% of 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 229% of the Medicare baseline (a markup of 129%). 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.

Input your details and click calculate to compare out-of-pocket costs.

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 $9 229%

Consumer Guidance & Cost Commentary

For this blood glucose test at Lincoln County Hospital in Lincoln, KS, the cash price is $39.00, which is lower than the facility's gross charge of $44.00. While the median negotiated rate for Blue Cross Blue Shield plans is $9.00, patients with high-deductible plans may find paying cash directly more cost-effective if their insurance allows the full negotiated rate to exceed the cash price. It is important to note that the facility is a Critical Access Hospital with government-local ownership, and while the data does not provide a specific median paid amount, the cash rate offers a clear baseline for self-pay patients.

To minimize costs, patients should explicitly ask the hospital about "prompt-pay" discounts before scheduling, as paying upfront can often reduce the bill by 20% to 50% by bypassing insurance claims processing. Additionally, since the No Surprises Act prohibits balance billing for emergency care and non-emergency services at in-network facilities, patients should verify that all ancillary services are covered under the hospital's network agreements. Although the data does not include a specific county or state average for comparison, understanding that commercial rates often include administrative overheads of 20% to 40% helps clarify why the negotiated rate might differ from the cash price.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 624 N Second, Lincoln, KS 67455
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals