CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Harlem Hospital Center

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82947
Insurance Median: $39
Cash Discount Price: Unavailable
vs. Medicare Baseline: 9.92x Medicare

The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Harlem Hospital Center is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 9.92x the Medicare baseline. Located in 506 Lenox Avenue, New York, NY.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$39

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%)

Insurance Median: $39 (992%)

Ins. Median: $39 (992% 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 992% of the Medicare baseline (a markup of 892%). 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	$3 - $12	76%
Healthfirst	$3 - $88	76%
Elderplan	$4	102%
Fidelis	$4 - $88	102%
Magnacare	$5	127%
Oscar	$6	153%
Oxford	$6	153%
United	$6 - $49	153%
Centerlight	$8	204%
Cigna	$10	254%
Wellcare	$10	254%
Carelon	$11 - $39	280%
Emblem	$12 - $53	305%
Blue Cross Blue Shield	$13 - $88	331%
Multiplan	$13	331%
Local 1199	$14	356%
Villagecare Max	$14	356%
Vnsny	$14 - $40	356%
Metroplus	$38 - $88	967%
Amidacare	$39	992%
Senior Whole Health	$39	992%
United Behavioral Health	$39 - $43	992%
Affinity	$40 - $88	1018%
Carelon (Amida Care)	$40	1018%

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 $X.
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 Harlem Hospital Center 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.