Blood test, glucose (blood sugar)
Facility: Fredonia Regional Hospital
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $17
- Cash Discount Price: $27
- vs. Medicare Baseline: 4.33x 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 433% of the Medicare baseline (a markup of 333%). 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 | $1 - $33 | 25% |
| Blue Cross Blue Shield | $9 - $18 | 229% |
| Veterans Programs - All Plans | $9 - $19 | 229% |
| Aetna | $9 - $33 | 229% |
| Meritain-All Plans | $17 - $33 | 433% |
| Reserve National-All Plans | $17 - $33 | 433% |
| Cigna | $17 - $33 | 433% |
Consumer Guidance & Cost Commentary
For the CPT code 82947, representing a blood glucose test at Fredonia Regional Hospital in Kansas, the cash price is $27.00, which matches the facility's negotiated rate. This cash price is significantly lower than the Medicare benchmark of $3.93, indicating a substantial markup relative to the federal government's fixed reimbursement rate. While the facility is a Critical Access Hospital owned by the local government, patients should be aware that commercial insurance negotiated rates often exceed cash prices due to administrative overhead and contract structures. In this specific case, the cash rate of $27.00 is higher than the Medicare amount, meaning patients with high-deductible plans might save money by paying cash directly rather than relying on insurance, provided they have not met their deductible threshold.
The facility's pricing data reflects a range of negotiated amounts across seven payers, with the median negotiated rate also set at $17.00. Although the data does not provide explicit state or county average comparisons for this specific code, the presence of multiple payers including UnitedHealthcare, Aetna, and Blue Cross Blue Shield suggests a competitive market environment. To ensure you are receiving the most favorable rate, it is recommended to request a full itemized bill before payment to verify that no unbundled codes or services not rendered are included in the total. Additionally, patients should inquire about prompt-pay discounts, which can reduce the final balance by 20% to 50% if paid in full upfront, effectively bypassing the costly claims processing cycle that inflates insurance billing.