Blood test, glucose (blood sugar)
Facility: Children'S Mercy South
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $30
- Cash Discount Price: $22
- vs. Medicare Baseline: 7.63x 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 763% of the Medicare baseline (a markup of 663%). 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 | $4 - $31 | 102% |
| Healthy Blue | $4 - $11 | 102% |
| Medicaid / KanCare | $5 | 127% |
| Home State Health | $9 | 229% |
| Blue Cross Blue Shield | $19 - $34 | 483% |
| Cigna | $22 - $32 | 560% |
| Medica | $27 | 687% |
| Aetna | $28 - $31 | 712% |
| Nebraska Furniture Mart | $30 | 763% |
| Centivo | $30 | 763% |
| Orscheln | $30 | 763% |
| Wppa Providrs Care | $30 | 763% |
| Quiktrip | $30 | 763% |
| Wellfit/Centrus | $30 | 763% |
| Health Midwest Comprehensive Care | $30 | 763% |
| Humana | $31 | 789% |
| Mercy Health | $34 | 865% |
| Coxhealth Network | $34 | 865% |
| Coventry Health Care Of Kansas | $34 | 865% |
| Multiplan | $35 | 891% |
| American Healthcare Alliance | $39 | 992% |
| Healthlink | $40 | 1018% |
| National Preferred Provider Network | $41 | 1043% |
Consumer Guidance & Cost Commentary
For the CPT code 82947, representing a blood glucose test at Children's Mercy South in Overland Park, the facility's cash median price is $22.00. This cash rate is notably lower than the facility's negotiated rates, which range from $4 to $41 across 23 different payers, with most commercial plans settling between $27 and $41. When compared to the national Medicare benchmark of $3.93, the facility's cash price represents a markup of 7.6 times the federal rate. While commercial insurance contracts often cap payments at negotiated rates that can exceed cash prices, patients with high-deductible plans may find paying the $22.00 cash price directly more cost-effective than relying on insurance, which could result in higher out-of-pocket costs if the deductible has not yet been met.
To secure the best possible rate, patients should proactively contact the billing department to confirm if "self-pay" or "prompt-pay" discounts are available, as these upfront payment incentives can further reduce the final amount owed. It is important to verify the specific allowed amount for your insurance plan before scheduling, as in-network rates vary significantly by carrier and can sometimes be higher than the cash price. Additionally, if you receive a bill that includes charges beyond the negotiated amount, you may be facing balance billing, though federal protections under the No Surprises Act generally prevent surprise bills for out-of-network services at in-network facilities. Always request a detailed, itemized bill to ensure all services are accurately coded and to identify any potential errors before making a payment.