Blood test, glucose (blood sugar)
Facility: Mitchell County Hospital Health Systems
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $26
- Cash Discount Price: $25
- vs. Medicare Baseline: 6.62x 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 662% of the Medicare baseline (a markup of 562%). 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 - $29 | 102% |
| Blue Cross Blue Shield | $9 | 229% |
| Triwest Well Mark All Plans | $23 - $25 | 585% |
| Aetna | $24 - $26 | 611% |
| Pref Hlth Care Sytms Comm - All Plans | $24 - $26 | 611% |
| First Health-All Plans | $24 - $26 | 611% |
| Phc Leased Ntwrk Access - All Plans | $26 - $28 | 662% |
| Multiplan Ppo - All Plans | $26 - $28 | 662% |
| Auxiant-All Plans | $26 - $28 | 662% |
| Cigna | $27 - $29 | 687% |
| Health Partners Ks-All Plans | $27 - $29 | 687% |
Consumer Guidance & Cost Commentary
For the CPT code 82947, representing a blood glucose test, Mitchell County Hospital Health Systems lists a cash median price of $25.00, which is slightly lower than the facility's negotiated median paid rate of $26.00. While the facility is a Critical Access Hospital in Beloit, Kansas, with government-local ownership, the specific data provided does not include comparative averages for the state or county to determine if this rate is above or below regional norms. However, for patients with high-deductible plans, paying the cash price of $25.00 upfront can be more cost-effective than relying on insurance, as commercial negotiated rates often exceed cash prices due to administrative overhead and contract dynamics. Patients should verify their specific plan's deductible status and ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can further reduce the final amount owed.
The Medicare benchmark for this service is $3.93, highlighting a significant difference between the federal cost baseline and the facility's commercial pricing. The facility's cash rate is approximately 6.6 times the Medicare amount, illustrating the typical markup found in commercial healthcare pricing where rates average 200% to 300% of Medicare. If you choose to use insurance, be aware that while in-network contracts prevent billing the full chargemaster gross price, the allowed amount may still be higher than the cash rate. To ensure you are receiving the best possible price, request an itemized bill before payment to identify any errors, unbundled codes, or services not rendered, and always confirm that your insurance has not automatically submitted a claim that would void any cash discount agreements.