Blood test, glucose (blood sugar)
Facility: Girard Medical Center
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $20
- Cash Discount Price: $35
- 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 |
|---|---|---|
| Blue Cross Blue Shield | $9 - $20 | 229% |
| Ambetter / Centene | $20 | 509% |
| Aetna | $20 - $102 | 509% |
| Humana | $20 | 509% |
| Medicare (plans) | $20 | 509% |
| Kansas Superior Select-All Plans | $20 | 509% |
| UnitedHealthcare | $20 - $55 | 509% |
| Multiplan-All Plans | $54 | 1374% |
| Uhhis-All Plans | $55 | 1399% |
Consumer Guidance & Cost Commentary
For this blood glucose test at Girard Medical Center in Girard, Kansas, the cash median price is $35.00, which is notably higher than the state average for this procedure. While commercial insurance plans like Aetna and UnitedHealthcare negotiate rates ranging from $20 to $102, patients with high-deductible plans may find paying the cash price of $35.00 more cost-effective if their insurance negotiated rate exceeds this amount. It is important to note that the facility's negotiated rate of $20.00 is lower than the cash price, but commercial rates vary significantly across payers, with Blue Cross Blue Shield plans paying as low as $9.00 and Aetna plans reaching up to $102.00.
To ensure you are receiving the best possible rate, you should request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Additionally, ask the billing department about prompt-pay discounts, which can reduce the total cost by 20% to 50% if you pay in full upfront, bypassing the administrative overhead of insurance claims processing. Since this facility is a Critical Access Hospital owned by a government hospital district, verify whether your specific plan qualifies for the lowest negotiated rates or if self-pay options might offer a better financial outcome than relying on standard insurance coverage.