Blood test, glucose (blood sugar)
Facility: Smith County Memorial Hospital
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $21
- Cash Discount Price: $22
- vs. Medicare Baseline: 5.34x 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 534% of the Medicare baseline (a markup of 434%). 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 | 229% |
| Medicaid / KanCare | $15 - $22 | 382% |
| Multiplan-All Plans | $20 | 509% |
| Midlands Choice-All Plans | $21 | 534% |
| Wppa-All Plans | $21 | 534% |
| Health Partners Of Ks Ppo-All Plans | $21 | 534% |
| UnitedHealthcare | $21 | 534% |
Consumer Guidance & Cost Commentary
For the blood glucose test at Smith County Memorial Hospital in Smith Center, Kansas, the cash price is $22.00, which matches the facility's gross charge. This rate is significantly lower than the state average for this procedure, which is $20.00, and notably lower than the Medicare benchmark of $3.93. While the facility is a Critical Access Hospital owned by the local government, patients should be aware that commercial insurance negotiated rates for this service range from $9.00 to $22.00 depending on the specific plan. In cases where a patient's insurance deductible has not been met, or if their plan's negotiated rate exceeds the cash price, paying out-of-pocket may result in a lower total cost. It is advisable to confirm with the hospital whether "self-pay" or "prompt-pay" discounts are available before scheduling, as these upfront payment incentives can further reduce the final bill.
The data indicates that the facility's cash rate is well below the typical administrative overhead associated with insurance billing, which often inflates costs by 20% to 40% due to claims processing and utilization reviews. Although the facility lists several payers, including Medicaid/KanCare and UnitedHealthcare, the actual amount paid by insurance for this specific service varies, with a median paid amount of $20.00 across the reported plans. Patients should avoid accepting summary bills that do not break down individual CPT codes, as over 80% of hospital bills contain errors such as unbundled charges or services not rendered. If a balance bill arises from an out-of-network ancillary service, the No Surprises Act may provide protection against unexpected costs, and patients are encouraged