CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Hermann Area District Hospital

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $23
  • Cash Discount Price: $26
  • vs. Medicare Baseline: 5.85x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Hermann Area District Hospital is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 5.85x the Medicare baseline. Located in 509 W 18Th St, Hermann, MO.
Cash / Self-Pay
$26

Average discount available for prompt cash payment at this facility.

Insurance Median
$23

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: $26 (662%)
Insurance Median: $23 (585%)
Cash: $26 (662% of Medicare)
Ins. Median: $23 (585% 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 585% of the Medicare baseline (a markup of 485%). 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
Coventry - All Plans $1 - $2 25%
UnitedHealthcare $6 - $21 153%
Tricare $13 - $20 331%
Choicecare Mcr Adv- All Plans $14 - $21 356%
Cigna $14 - $20 356%
Aetna $15 - $47 382%
American Hlth Mcr Adv- All Plans $15 - $22 382%
Blue Cross Blue Shield $15 - $40 382%
Humana $15 - $22 382%
Wellcare Mcr Adv - All Plans $15 - $22 382%
Harmony Hp Mcaid- All Plans $20 - $29 509%
Healthcare Usa Mcaid- All Plans $22 - $32 560%
Healthlink Hmo $22 - $32 560%
Ambetter / Centene $24 - $35 611%
Healthlink Ppo - All Other Plans $26 - $37 662%
Multiplan/Phcs - All Plans $26 - $37 662%
Comp Results - All Plans $31 - $45 789%
Three Rivers - All Plans $31 - $45 789%
Care Partners Mcaid- All Plans $34 - $50 865%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 509 W 18Th St, Hermann, MO 65041
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals