Blood test, glucose (blood sugar)
Facility: Scott County Hospital
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $20
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 5.09x 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 509% of the Medicare baseline (a markup of 409%). 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 |
|---|---|---|
| UnitedHealthcare | $4 - $32 | 102% |
| Blue Cross Blue Shield | $9 | 229% |
| Humana | $9 - $14 | 229% |
| Wppa | $13 - $1,200 | 331% |
| Aetna | $19 - $31 | 483% |
Consumer Guidance & Cost Commentary
For the CPT code 82947, representing a blood glucose test at Scott County Hospital, the facility's negotiated rates range from $4 to $32 across five insurance plans, with a median negotiated amount of $20.00. This facility is a Critical Access Hospital in Scott City, Kansas, and its pricing is notably higher than the state average, which is $3.93 according to Medicare benchmarks. While commercial insurance contracts generally cap charges to protect members, these negotiated rates often exceed the cash price, which can be a significant factor for patients with high-deductible plans. In such cases, paying out-of-pocket might result in lower costs than the insurance allowed amount, provided the patient qualifies for a self-pay or prompt-pay discount.
It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, unexpected ancillary charges can still occur if specific lab components are billed separately. Consumers should always request a full, itemized bill before paying to ensure no unbundled codes or services not rendered are included, as over 80% of hospital bills contain errors. Additionally, patients should verify their deductible status before scheduling, as paying the full negotiated rate without meeting the deductible can lead to unexpected out-of-pocket expenses. For the most accurate pricing, individuals are encouraged to contact the hospital directly to confirm self-pay rates and any available prompt-pay discounts before finalizing their appointment.