Blood test, glucose (blood sugar)
Facility: Minneola District Hospital
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $14
- Cash Discount Price: $11
- vs. Medicare Baseline: 3.56x 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 356% of the Medicare baseline (a markup of 256%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $9 | 229% |
| Humana | $10 - $11 | 254% |
| Va Community Care Program-All Plans | $10 - $11 | 254% |
| UnitedHealthcare | $10 - $16 | 254% |
| Corporate Plan Management-All Plans | $13 - $14 | 331% |
| Providrs Care Network-All Plans | $13 - $14 | 331% |
| Preferred Health Care (Coventry)-All Other Plans | $14 | 356% |
| Health Partners Of Kansas-All Plans | $14 - $15 | 356% |
| Triwest-All Plans | $14 | 356% |
| Phc (Coventry) Leased Network | $14 - $15 | 356% |
| Aetna | $14 - $16 | 356% |
| Medicaid / KanCare | $15 - $16 | 382% |
Consumer Guidance & Cost Commentary
For the CPT code 82947, representing a blood glucose test at Minneola District Hospital, the facility's cash median price is $11.00, which is lower than the negotiated rates of $14.00 paid by most insurance plans. This price difference highlights a common billing dynamic where cash-pay options can be more affordable than insurance reimbursement, particularly for patients with high-deductible plans who may not have met their out-of-pocket thresholds. While the facility is a Critical Access Hospital in Kansas, the data does not provide specific county or state average figures for this procedure to make direct comparisons. However, patients should be aware that commercial negotiated rates often include administrative overhead and contract structures that can inflate the final cost compared to self-pay options.
To minimize potential costs, patients should proactively inquire about "self-pay" or "prompt-pay" discounts before scheduling, as these programs often offer immediate fee reductions for upfront payment. It is also important to understand that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, unexpected charges can still occur if ancillary services are billed separately. If a patient receives an itemized bill, they should request a full line-by-line audit to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain discrepancies. By comparing the allowed amount to the Medicare benchmark of $3.93 and understanding that fair pricing typically falls between 120% and 150% of that rate, consumers can better evaluate whether the negotiated or cash rate is reasonable.