Blood test, glucose (blood sugar)
Facility: Amberwell Atchison Association
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $22
- Cash Discount Price: $49
- vs. Medicare Baseline: 5.60x 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 560% of the Medicare baseline (a markup of 460%). 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 | $8 - $9 | 204% |
| Triwest - All Plans | $13 - $19 | 331% |
| UnitedHealthcare | $13 - $104 | 331% |
| Superior Select Mcr Adv - All Plans | $13 - $19 | 331% |
| Humana | $13 - $26 | 331% |
| Va Ccn - All Plans | $13 - $19 | 331% |
| Ambetter / Centene | $20 - $30 | 509% |
| Aetna | $22 - $32 | 560% |
| Cigna | $22 - $32 | 560% |
| Oscar - All Plans | $30 - $44 | 763% |
| Centrus Health Direct - All Plans | $30 - $44 | 763% |
| Multiplan - All Plans | $31 - $45 | 789% |
| Wppa Providrs Care - All Plans | $36 - $52 | 916% |
Consumer Guidance & Cost Commentary
For this blood glucose test at Amberwell Atchison Association, the cash price is $49.00, which matches the facility's self-pay rate and is significantly higher than the state average of $25.00. While commercial insurance plans like Blue Cross Blue Shield and Triwest have negotiated rates ranging from $8 to $19, these amounts are generally lower than the cash price, meaning patients with high-deductible plans might save money by paying the cash rate directly rather than relying on insurance, provided they have met their deductible. It is important to note that while the facility is a Critical Access Hospital in Atchison, KS, and operates as a voluntary non-profit, patients should verify their specific plan's allowed amount before scheduling, as some in-network contracts may result in higher out-of-pocket costs than the cash price due to administrative overheads included in negotiated rates.
Patients should be aware that the median amount paid by insurers for this service is $25.00, which is lower than the cash price but still above the Medicare benchmark of $3.93, indicating a markup relative to federal cost standards. If you receive a bill that includes charges for out-of-network ancillary services or emergency care, the No Surprises Act may protect you from balance billing, and you should dispute any unexpected invoices in writing rather than accepting summary bills. Additionally, if you choose to pay out-of-pocket, ask the billing department about prompt-pay discounts, which can reduce the $49.00 cash price further, and always request a full itemized audit of your statement to ensure no unbundled codes or services not rendered are included in the final invoice.