Blood test, glucose (blood sugar)
Facility: Community Memorial Healthcare, Inc.
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $8
- Cash Discount Price: $13
- vs. Medicare Baseline: 2.04x 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 204% of the Medicare baseline (a markup of 104%). 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 |
|---|---|---|
| Aetna | $5 - $19 | 127% |
| UnitedHealthcare | $6 - $14 | 153% |
| Blue Cross Blue Shield | $9 | 229% |
Consumer Guidance & Cost Commentary
For the blood glucose test at Community Memorial Healthcare in Marysville, Kansas, the cash price is $13.00, which matches the facility's median cash rate. This amount is significantly higher than the state average for this service, which is $3.93 (Medicare rate). While commercial insurance plans like Aetna, UnitedHealthcare, and Blue Cross Blue Shield negotiate rates ranging from $5.00 to $14.00, these negotiated amounts often exceed the cash price. Patients with high-deductible plans may find it more cost-effective to pay the $13.00 cash price directly, as the insurance negotiated rate could result in higher out-of-pocket costs if the deductible has not yet been met.
To minimize potential surprise costs, patients should verify their specific plan's "self-pay" or "prompt-pay" discounts before scheduling, as these can reduce the final bill. Although the No Surprises Act protects against balance billing for out-of-network services at in-network facilities, it is crucial to request an itemized bill to ensure no unbundled charges or services not rendered are included. Given that over 80% of hospital bills contain errors, reviewing the line-by-line statement is essential to identify any discrepancies before payment. Finally, if a balance bill arises, patients should dispute it with their insurer rather than paying immediately, as federal protections may apply to the situation.