CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Astera Health

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82947
Insurance Median: $53
Cash Discount Price: $49
vs. Medicare Baseline: 13.49x Medicare

The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Astera Health is $53. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 13.49x the Medicare baseline. Located in 421 11Th Street Nw, Wadena, MN.

Cash / Self-Pay

$49

Average discount available for prompt cash payment at this facility.

Insurance Median

$53

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: $49 (1247%)

Insurance Median: $53 (1349%)

Cash: $49 (1247% of Medicare)

Ins. Median: $53 (1349% 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 1349% of the Medicare baseline (a markup of 1249%). 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
Blue Plus Pmap [40002]	$14 - $5,128	356%
Ucare Pmap [30006]	$25 - $1,691	636%
Blue Cross Blue Shield	$28 - $5,128	712%
Health Partners [10045]	$28 - $5,128	712%
Medica Nonpmap [10056]	$28 - $5,430	712%
Medica Pmap [10057]	$28 - $3,448	712%
Primewest Non Pmap [30004]	$28 - $5,128	712%
Primewest Pmap [30003]	$28 - $3,448	712%
Ucare Non Pmap [30007]	$29 - $5,385	738%
Health Partners Pmap [10046]	$35	891%
Ucare Commercial [10705]	$48 - $52	1221%
UnitedHealthcare	$52 - $54	1323%
Multiplan	$56	1425%
Sanford Health Plan [10120]	$59	1501%
Aetna	$63	1603%

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 $49.
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 Astera Health 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.