CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Rockcastle County Hospital, Inc.

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $36
  • Cash Discount Price: $68
  • vs. Medicare Baseline: 9.16x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Rockcastle County Hospital, Inc. is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 9.16x the Medicare baseline. Located in 145 Newcomb Avenue, Mount Vernon, KY.
Cash / Self-Pay
$68

Average discount available for prompt cash payment at this facility.

Insurance Median
$36

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$3.93

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3.93 (100%)
Cash / Self-Pay: $68 (1730%)
Insurance Median: $36 (916%)
Cash: $68 (1730% of Medicare)
Ins. Median: $36 (916% of 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 916% of the Medicare baseline (a markup of 816%). 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.

Input your details and click calculate to compare out-of-pocket costs.

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 $3 - $64 76%
Tricare $3 76%
Caresource Mcr Adv-All Other Plans $4 102%
Humana $4 102%
Molina Marketplace - All Other Plans $4 102%
Molina Mcr Adv $4 102%
Signature Mcr Adv-All Plans $4 102%
Wellcare Mcr Adv-All Other Plans $4 102%
Passport Hp Hmo - All Plans $10 - $25 254%
Multiplan-All Plans $31 - $79 789%
Prime Health Services-All Plans $31 - $79 789%
Corvel - All Plans $32 - $84 814%
Integrated Hp-All Plans $32 - $83 814%
Center Care-All Plans $34 - $88 865%
Cigna $35 - $90 891%
Caresource Mcaid $36 - $93 916%
Coventry Mcaid-All Plans $36 - $93 916%
Medicaid / KanCare $36 - $93 916%
Molina Mcaid $36 - $93 916%
UnitedHealthcare $36 - $93 916%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 145 Newcomb Avenue, Mount Vernon, KY 40456
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals