CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Licking Memorial Hospital

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $73
  • Cash Discount Price: $96
  • vs. Medicare Baseline: 18.58x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Licking Memorial Hospital is $73. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $96. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 18.58x the Medicare baseline. Located in 1320 West Main Street, Newark, OH.
Cash / Self-Pay
$96

Average discount available for prompt cash payment at this facility.

Insurance Median
$73

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: $96 (2443%)
Insurance Median: $73 (1858%)
Cash: $96 (2443% of Medicare)
Ins. Median: $73 (1858% 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 1858% of the Medicare baseline (a markup of 1758%). 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 $4 - $70 102%
Blue Cross Blue Shield $4 - $83 102%
Champva [500001] $4 102%
Cigna $4 - $87 102%
Humana $4 - $94 102%
Medicare (plans) $4 102%
Tricare $4 102%
UnitedHealthcare $4 - $82 102%
Veterans Administration [100068] $4 102%
Wellcare By Allwell [450104] $4 102%
Molina Marketplace [100106] $6 153%
Medical Mutual [100114] $47 - $80 1196%
Medben [700068] $60 - $95 1527%
Allied Benefit Systems [100015] $62 - $70 1578%
Geha [100039] $62 - $70 1578%
Gravie Administrative Services [100165] $62 - $70 1578%
Meritain [100063] $62 - $70 1578%
Optima [700069] $62 - $70 1578%
Trustmark Small Business Benefits [100263] $62 - $70 1578%
Webtpa [100127] $62 - $70 1578%
Benicomp [70090] $64 - $73 1628%
Consociate Health 6 Degrees [100059] $69 - $78 1756%
Consociate Health [100029] $69 - $78 1756%
Healthscope [100157] $73 - $82 1858%
Surest [100016] $73 - $82 1858%
United Medical Resources [700071] $73 - $82 1858%
American Postal Workers [100089] $77 - $87 1959%
Antidote Health Plan Of Ohio [70006803] $77 - $87 1959%
Coresource [100002] $77 - $97 1959%
Great West Life [700064] $77 - $87 1959%
National Association Of Letter Carriers [100067] $77 - $87 1959%
Ohio Healthy Luminare Health [100264] $77 - $87 1959%
Ohio Healthy [100255] $77 - $87 1959%
Ohio Ppo Connect [70006801] $77 - $87 1959%
Osu Prime Care [100254] $77 - $87 1959%
Quality Care Partners [70006802] $77 - $87 1959%
The Health Plan [100261] $77 - $87 1959%
Wellfleet Group, Llc [100164] $77 - $87 1959%
Coventry [100010] $79 - $89 2010%
Pan American Life [700070] $79 - $89 2010%
Ohio Health Choice [100109] $82 - $93 2087%
Administrative Concepts [100006] $83 - $94 2112%
Carefactor [100087] $83 - $94 2112%
Philadelphia American Life [100260] $83 - $97 2112%
Reliance Standard-Asrm [100258] $83 - $94 2112%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1320 West Main Street, Newark, OH 43055
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals