Blood test, glucose (blood sugar)
Facility: Republic County Hospital
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $37
- Cash Discount Price: $30
- vs. Medicare Baseline: 9.41x 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 941% of the Medicare baseline (a markup of 841%). 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 |
|---|---|---|
| Rural Carriers-All Plans | $34 | 865% |
| Meritain-All Plans | $36 | 916% |
| Aetna | $36 | 916% |
| UnitedHealthcare | $37 | 941% |
| First Health-All Plans | $38 | 967% |
| Midlands Choice-All Plans | $38 | 967% |
| Cigna | $38 | 967% |
Consumer Guidance & Cost Commentary
For this blood glucose test at Republic County Hospital in Belleville, KS, the negotiated rates range from $34 to $38 across seven major payers, with a median negotiated amount of $37.00. This is notably higher than the facility's cash price of $30.00 and exceeds the state average for this service. While commercial insurance contracts often result in higher out-of-pocket costs due to administrative overhead and multi-layered billing structures, patients with high-deductible plans may find paying the cash price directly more cost-effective if their insurance allowed amount exceeds $30.00. It is important to verify your specific plan's deductible status before scheduling, as paying the negotiated rate without meeting your deductible can lead to significant unexpected expenses.
To ensure you are not overcharged, always request a full itemized bill before paying, as summary invoices often obscure individual code costs and potential errors. Although the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, it is crucial to dispute any surprise bills in writing rather than accepting them immediately. Additionally, ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if settled upfront, bypassing the costly claims processing cycle that inflates commercial rates. Comparing your final allowed amount to the Medicare benchmark of $3.93 reveals a significant markup, highlighting the value of understanding your specific contract terms and negotiating directly with the facility.