Blood test, glucose (blood sugar)
Facility: William Newton Hospital
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $14
- Cash Discount Price: $40
- vs. Medicare Baseline: 3.56x 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 356% of the Medicare baseline (a markup of 256%). 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 | $2 - $36 | 51% |
| Blue Cross Blue Shield | $8 - $14 | 204% |
| Triwest- All Plans | $14 | 356% |
| Ambetter / Centene | $14 - $40 | 356% |
| Providrs Care Nexus | $24 | 611% |
| Providrs Care - All Other Plans | $28 | 712% |
Consumer Guidance & Cost Commentary
For the blood glucose test at William Newton Hospital in Winfield, KS, the cash price is $40.00, which matches the facility's median negotiated rate of $14.00 and the state average. While the hospital's cash price is significantly higher than the median negotiated rate of $14.00, patients with high-deductible plans may find paying cash directly cheaper if their insurance negotiated rate exceeds the cash price. It is important to note that commercial rates often include administrative overhead, whereas the Medicare benchmark of $3.93 represents a more accurate baseline for the true cost of this service.
Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network services at in-network facilities, unexpected ancillary charges can still occur if specific lab components are billed separately. To avoid potential errors, consumers should request a full itemized bill before paying, as summary invoices often obscure individual code costs. Additionally, asking the hospital about "self-pay" or "prompt-pay" discounts before scheduling can result in immediate fee reductions, as these incentives bypass costly insurance claims processing and administrative delays.