CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Phelps Memorial Health Center

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $10
  • Cash Discount Price: $12
  • vs. Medicare Baseline: 2.54x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Phelps Memorial Health Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 2.54x the Medicare baseline. Located in 1215 Tibbals St, Holdrege, NE.
Cash / Self-Pay
$12

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: $12 (305%)
Insurance Median: $10 (254%)
Cash: $12 (305% 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
UnitedHealthcare $5 - $13 127%
Aetna $6 - $12 153%
Blue Cross Blue Shield $6 - $12 153%
Good Samaritan Mcr Adv - All Plans $6 153%
Medica Mcr Adv $6 153%
Molina Mcaid - All Plans $6 153%
Va Ccn - All Plans $6 153%
Wellcare Mcr Adv - All Plans $6 153%
Three Rivers - All Plans $7 178%
6 Degrees Hlth - All Plans $10 254%
Partners Hlth Alliance - All Plans $10 254%
Chi Health Partners - All Plans $12 305%
Cpi Benefit Group-All Plans $12 305%
First Health - All Plans $12 305%
Medica-All Other Plans $12 305%
Midwest Ntwrk Alliance - All Plans $12 305%
Provider Network Of American - All Plans $12 305%
Providrs Care/Wppa - All Plans $12 305%
Ambetter / Centene $15 382%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1215 Tibbals St, Holdrege, NE 68949
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals