Blood test, glucose (blood sugar)
Facility: Morris County Hospital
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $25
- Cash Discount Price: $38
- vs. Medicare Baseline: 6.36x 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 636% of the Medicare baseline (a markup of 536%). 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 |
|---|---|---|
| Va Ccn-All Plans | $2 | 51% |
| Providrs Care (Wppa)(Nexus)-All Plans | $4 | 102% |
| Aetna | $6 | 153% |
| Blue Cross Blue Shield | $8 - $25 | 204% |
| Choice Care Mcr Adv-All Plans | $25 | 636% |
| Coventry Mcr | $25 | 636% |
| UnitedHealthcare | $25 - $63 | 636% |
| Cigna | $46 | 1170% |
| Coventry Comm-All Other Plans | $57 | 1450% |
| Multiplan-All Plans | $57 | 1450% |
Consumer Guidance & Cost Commentary
For this blood glucose test at Morris County Hospital in Council Grove, Kansas, the facility's cash price of $38.00 is notably higher than the state average of $25.00 and the median negotiated rate of $25.00. While the hospital is a Critical Access Hospital with government local ownership, patients with high-deductible plans may find the cash price more affordable than their insurance negotiated rate, which can sometimes exceed the cash amount. It is important to note that the facility offers a prompt-pay discount for upfront payment, which can further reduce the cost, though this must be requested before scheduling to avoid automatic insurance submission that voids the cash agreement.
The Medicare benchmark for this service is $3.93, indicating that the facility's rates are significantly above the federal baseline. Commercial insurance plans show a wide range of allowed amounts, with UnitedHealthcare ranging from $25.00 to $63.00 and Blue Cross Blue Shield ranging from $8.00 to $25.00 across three different plans. Because the facility is in-network for many payers, balance billing is not expected for this service under the No Surprises Act, but patients should verify their specific plan details to ensure they are aware of any deductibles or copays that may apply before receiving care.