CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Lexington Regional Health Center

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $31
  • Cash Discount Price: $47
  • vs. Medicare Baseline: 7.89x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Lexington Regional Health Center is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $47. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 7.89x the Medicare baseline. Located in P O Box 980, 1201 North Erie St, Lexington, NE.
Cash / Self-Pay
$47

Average discount available for prompt cash payment at this facility.

Insurance Median
$31

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: $47 (1196%)
Insurance Median: $31 (789%)
Cash: $47 (1196% of Medicare)
Ins. Median: $31 (789% 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 789% of the Medicare baseline (a markup of 689%). 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
Aetna $24 611%
Medicaid / KanCare $31 789%
Molina $31 789%
Ne Total Care $31 789%
UnitedHealthcare $31 - $47 789%
Blue Cross Blue Shield $46 1170%
Midlands Choice $49 1247%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: P O Box 980, 1201 North Erie St, Lexington, NE 68850
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals