Blood test, glucose (blood sugar)
Facility: Clay County Medical Center
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $32
- Cash Discount Price: $34
- vs. Medicare Baseline: 8.14x 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 814% of the Medicare baseline (a markup of 714%). 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 | $32 | 814% |
| Health Partners - All Plans | $32 | 814% |
| UnitedHealthcare | $32 | 814% |
| Multiplan- All Plans | $32 | 814% |
| Wppa/Providrs Care- All Plans | $32 | 814% |
Consumer Guidance & Cost Commentary
At Clay County Medical Center in Clay Center, KS, the negotiated rate for a blood glucose test is $32.00, which matches the cash price of $34.00 and the median paid amount of $32.00 across five major payers including Aetna and UnitedHealthcare. This facility, a government-owned Critical Access Hospital, charges exactly the Medicare benchmark of $3.93 plus a standard markup, resulting in a final price that is 8.1% higher than the Medicare rate. Because the cash price is nearly identical to the insurance negotiated rate, patients with high-deductible plans may find paying out-of-pocket slightly more efficient than using insurance, as the administrative overhead of claims processing is already reflected in the $32.00 allowed amount.
For patients seeking to minimize costs, it is important to verify if the facility offers a "prompt-pay" discount for upfront cash payments, which could further reduce the $34.00 charge. Additionally, since this is a government-owned facility, patients should be aware that balance billing is unlikely for in-network services, but they should still request an itemized bill to ensure no unbundled codes or services not rendered are included. Given that the negotiated rate aligns closely with the cash price and the Medicare benchmark, there is no significant price gouging here, but consumers should always confirm their specific plan's deductible status before scheduling to avoid unexpected out-of-pocket expenses.