Blood test, glucose (blood sugar)
Facility: Golden Valley Memorial Hospital
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $4
- Cash Discount Price: $17
- vs. Medicare Baseline: 1.02x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $4 | 102% |
| Home State Health | $4 | 102% |
| Humana | $4 | 102% |
| UnitedHealthcare | $4 - $7 | 102% |
| Ambetter / Centene | $5 | 127% |
Consumer Guidance & Cost Commentary
Golden Valley Memorial Hospital, located at 1600 N 2Nd St in Clinton, MO, charges $28 for the blood glucose test (CPT 82947), which is significantly higher than the facility's own cash median rate of $17 and the state average of $28. While the hospital's ownership is a Government Hospital District, the gross charge aligns with the state average, though patients should note that the facility's cash median is lower. For patients with high-deductible plans, paying the cash rate of $17 upfront could be more cost-effective than relying on insurance, as the facility's negotiated rates range from $4 to $7 depending on the payer, yet the gross charge remains the primary benchmark for comparison.
Patients should be aware that commercial insurance payment data shows a wide variance, with UnitedHealthcare plans paying up to $7 while others pay as low as $4, indicating that the negotiated rate is not uniform across all plans. It is crucial to request a "self-pay" or "prompt-pay" discount before scheduling, as these upfront fee reductions can bypass the administrative overhead of claims processing and often result in a lower total than the standard cash price. Additionally, under the No Surprises Act, patients are protected from balance billing for emergency or non-emergency services at in-network facilities, and if a summary bill is received, they should demand a full itemized CPT-coded statement to identify any unbundled codes or services not rendered before disputing the amount in writing.