CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: UMass Memorial Healthalliance Hospitals

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82947
Insurance Median: $13
Cash Discount Price: $40
vs. Medicare Baseline: 3.31x Medicare

The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at UMass Memorial Healthalliance Hospitals is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $40. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 3.31x the Medicare baseline. Located in 60 Hospital Road, Leominster, MA.

Cash / Self-Pay

$40

Average discount available for prompt cash payment at this facility.

Insurance Median

$13

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: $40 (1018%)

Insurance Median: $13 (331%)

Cash: $40 (1018% of Medicare)

Ins. Median: $13 (331% 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 331% of the Medicare baseline (a markup of 231%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Medicaid / KanCare	$3 - $6	76%
Aetna	$4 - $27	102%
Blue Cross Blue Shield	$4 - $12	102%
Champva [11001]	$4	102%
Cigna	$4 - $15	102%
Commonwealth Care Mcr [10115]	$4	102%
Fallon Mcr Supp [20202]	$4	102%
Grants [20507]	$4 - $42	102%
Harvard Pilgrim Mcr [10106]	$4	102%
Institution [10406]	$4 - $22	102%
Medicare (plans)	$4	102%
Mgb Mcr [10124]	$4	102%
Senior Whole Health [10110]	$4	102%
Tufts Dual [10111]	$4	102%
Tufts Mcr [10112]	$4	102%
Tufts Us Family [11203]	$4	102%
UnitedHealthcare	$4 - $42	102%
Correctional Care [11003]	$5 - $6	127%
Workers Compensation [20501]	$5	127%
Masshealth [20302]	$6	153%
Tufts Connectorcare [10507]	$7	178%
Tufts [11201]	$9	229%
Harvard Pilgrim [10701]	$10 - $12	254%
Wellpoint [11112]	$10	254%
Hne [11108]	$22 - $23	560%
First Health Network [11120]	$29 - $32	738%
Multiplan [11109]	$29 - $32	738%
Fallon Connectorcare [10503]	$37	941%
Connecticare [11105]	$39 - $42	992%
Fallon Carelon Hlth [28]	$39 - $42	992%
Fallon Mcaid Carelon Hlth [29]	$39 - $42	992%
Hsno/Free Care [10801]	$294	7481%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $40.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82947.

Insurance In-Network Protection Plan

Contact your insurance company to confirm UMass Memorial Healthalliance Hospitals is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82947.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.