CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: North Adams Regional Hospital Corporation

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $21
  • Cash Discount Price: $34
  • vs. Medicare Baseline: 5.34x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at North Adams Regional Hospital Corporation is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $34. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 5.34x the Medicare baseline. Located in 71 Hospital Avenue, North Adams, MA.
Cash / Self-Pay
$34

Average discount available for prompt cash payment at this facility.

Insurance Median
$21

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: $34 (865%)
Insurance Median: $21 (534%)
Cash: $34 (865% of Medicare)
Ins. Median: $21 (534% 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 534% of the Medicare baseline (a markup of 434%). 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
Mcd Masshealth $3 76%
Mcd New York $3 76%
Mcd Out Of State $3 76%
Mcdmanaged Cdphp $3 76%
Mcdmanaged Hne Mcdaco $3 76%
Medicaid / KanCare $3 - $16 76%
Blue Cross Blue Shield $4 - $30 102%
Comm Hospice $4 - $8 102%
Mcdmanaged Bmchnp $4 102%
Mcdmanaged Network $4 - $20 102%
Mcr Miscellaneous $4 - $8 102%
Mcrmanaged Cca One Care $4 - $8 102%
Mcrmanaged Usa Family $4 - $8 102%
Mcrmanaged Va $4 - $8 102%
Medicare (plans) $4 - $8 102%
Oth United Vaccn $4 - $8 102%
Aetna $5 - $27 127%
Tricare $5 - $13 127%
Comm Fallon Qhp $6 - $20 153%
Comm Unicare $10 - $23 254%
Comm Network Qhpsub $20 - $22 509%
Wc Workers Comp $22 560%
Comm Network Qhpnonsub $23 - $26 585%
Comm Nhp $23 585%
Comm Hne $24 - $25 611%
Comm Hne Hmo $24 - $27 611%
Comm Hne Ppo $25 - $27 636%
Comm Tufts $28 712%
UnitedHealthcare $31 789%
Cigna $32 - $33 814%
Comm Cdphp $32 814%
Comm Mvp $32 814%
Comm Oxford $32 814%
Comm First Health $33 - $34 840%
Comm Connecticare $34 865%
Comm Consolidated Health $34 865%
Comm Harvard $34 865%
Comm Other $34 865%
Comm Phcs $34 865%
Comm Self Pay $34 865%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 71 Hospital Avenue, North Adams, MA 01247
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Federal
  • Hospital Type: Critical Access Hospitals