CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Boston Children's Hospital

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $14
  • Cash Discount Price: $41
  • vs. Medicare Baseline: 3.56x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Boston Children's Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $41. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 3.56x the Medicare baseline. Located in 300 Longwood Avenue, Boston, MA.
Cash / Self-Pay
$41

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $41 (1043%)
Insurance Median: $14 (356%)
Cash: $41 (1043% of Medicare)
Ins. Median: $14 (356% 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 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.

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
Cdphp $5 - $60 127%
Blue Cross Blue Shield $6 - $46 153%
Harvard Pilgrim $6 - $47 153%
Aetna $7 - $59 178%
Ambetter / Centene $7 - $44 178%
Carelon Strategies/Bhs $7 - $46 178%
Mgb/Allways $7 - $52 178%
Tufts Public Plan $7 - $43 178%
United $7 - $58 178%
United Ri Nj Ny $7 - $44 178%
UnitedHealthcare $7 - $60 178%
Carelon/Beacon $8 - $52 204%
Fallon $8 - $54 204%
Cigna $9 - $63 229%
Ets/Lifetrac $9 - $60 229%
Health New England $9 - $57 229%
Interlink Transplant $9 - $60 229%
Community Health Options $10 - $63 254%
Coventry/Hcvm/First Health $10 - $64 254%
Humana $10 - $63 254%
Multiplan/Phcs $10 - $66 254%
Unicare $16 407%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Longwood Avenue, Boston, MA 02115
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens