CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Atlantic Rehabilitation Institute, LLC

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $63
  • Cash Discount Price: $63
  • vs. Medicare Baseline: 16.03x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Atlantic Rehabilitation Institute, LLC is $63. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 16.03x the Medicare baseline. Located in 200 Madison Ave, Madison, NJ.
Cash / Self-Pay
$63

Average discount available for prompt cash payment at this facility.

Insurance Median
$63

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: $63 (1603%)
Insurance Median: $63 (1603%)
Cash: $63 (1603% of Medicare)
Ins. Median: $63 (1603% 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 1603% of the Medicare baseline (a markup of 1503%). 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 $55 - $80 1399%
All Savers Cpd $55 - $80 1399%
Ama Insurance Msg $55 - $80 1399%
Ambetter / Centene $55 - $80 1399%
Amerigroup Mgg (Wellpoint As Of 5/1/24) $55 - $80 1399%
Amerihealth Cpd $55 - $80 1399%
Amerihealth Mgg $55 - $80 1399%
Blue Cross Blue Shield $55 - $80 1399%
Braven Health Cpd $55 - $80 1399%
Braven Health Mgd $55 - $80 1399%
Cigna $55 - $80 1399%
Claim Doc Llc Cpd $55 - $80 1399%
First Managed Care Wc Cpd $55 - $80 1399%
Gateway Mgg $55 - $80 1399%
Medicaid / KanCare $55 - $80 1399%
Oscar Health Cpd $55 - $80 1399%
Oxford Health Plan Cpd $55 - $80 1399%
Oxford Mgg $55 - $80 1399%
Qualcare Cpd $55 - $80 1399%
Qualcare Lynx Wc Cpd $55 - $80 1399%
UnitedHealthcare $55 - $80 1399%
Upmc For Life Mgg $55 - $80 1399%
Wellcare Mgg $55 - $80 1399%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 Madison Ave, Madison, NJ 07940
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL