CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Atrium Health Cleveland

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82947
Insurance Median: $33
Cash Discount Price: $38
vs. Medicare Baseline: 8.40x Medicare

The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Atrium Health Cleveland is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 8.40x the Medicare baseline. Located in 201 E Grover St, Shelby, NC.

Cash / Self-Pay

$38

Average discount available for prompt cash payment at this facility.

Insurance Median

$33

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: $38 (967%)

Insurance Median: $33 (840%)

Cash: $38 (967% of Medicare)

Ins. Median: $33 (840% 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 840% of the Medicare baseline (a markup of 740%). 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
Aetna	$4 - $59	102%
Blue Cross Blue Shield	$4 - $31	102%
Choicecare	$4 - $63	102%
Cigna	$4 - $61	102%
Humana	$4	102%
UnitedHealthcare	$4 - $41	102%
Alliance	$5 - $13	127%
Amerihealth Caritas	$5 - $11	127%
Carolina Complete Health	$5 - $11	127%
Healthy Blue	$5 - $11	127%
Partners	$5 - $11	127%
Trillium	$5 - $11	127%
Vaya	$5 - $11	127%
Wellcare	$5 - $11	127%
Ambetter / Centene	$24 - $28	611%
Employers Health Network	$34 - $41	865%
Physician Reach Out	$38	967%
Medcost	$43 - $51	1094%
Magellan	$46	1170%
Gmmi	$50	1272%
Quik Trip	$50	1272%
Carolina Behavioral Health	$55 - $61	1399%
Healthgram	$61	1552%
First Health	$65	1654%
Lifesynch Community Choice Care	$65	1654%
Private Health Care Systems	$69	1756%
Beechstreet	$71	1807%
Multiplan	$73	1858%

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 $38.
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 Atrium Health Cleveland 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.