CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Holmes County Hospital and Clinics

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $10
  • Cash Discount Price: $9
  • vs. Medicare Baseline: 2.54x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Holmes County Hospital and Clinics is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 2.54x the Medicare baseline. Located in 239 Bowling Green Road, Lexington, MS.
Cash / Self-Pay
$9

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $9 (229%)
Insurance Median: $10 (254%)
Cash: $9 (229% of Medicare)
Ins. Median: $10 (254% 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 254% of the Medicare baseline (a markup of 154%). 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
Ms-Can-Magnolia-Lex $4 102%
Ms-Can-Molina-Lex $4 102%
Ms-Can-Truecare-Lex $4 102%
Advhealth-Lex $6 153%
Blue Cross Blue Shield $6 153%
Cigna $7 - $19 178%
Humana $7 - $20 178%
Tricare $7 - $20 178%
United-Lex $7 178%
United-Options-Lex $7 178%
Firstchoice-Lex $8 - $22 204%
Magnolia-Chip-Lex $8 204%
Medadv_Uhc-Lex $8 - $22 204%
Molina-Chip-Lex $8 204%
Mpcn-Lex $8 - $21 204%
Truecare-Chip-Lex $8 204%
Ambetter / Centene $9 - $24 229%
Devoted_Health-Lex $9 - $25 229%
Medadv_Primewell-Lex $9 - $24 229%
Medadv_Uhcdsnp-Lex $9 - $25 229%
Medicare (plans) $9 - $24 229%
Ppoplus $9 - $25 229%
Primewell-Lex $9 - $24 229%
Va_Ccn-Lex $9 - $24 229%
Wellcare-Lex $9 - $25 229%
Aetna $10 - $27 254%
Firsthealth-Lex $10 - $26 254%
Multiplan-Lex $10 - $26 254%
Phcs-Lex $11 - $29 280%
Molina_Exchange-Lex $12 - $32 305%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 239 Bowling Green Road, Lexington, MS 39095
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - State
  • Hospital Type: Critical Access Hospitals