CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Lodi Community Hospital

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $15
  • Cash Discount Price: $17
  • vs. Medicare Baseline: 3.82x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Lodi Community Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 3.82x the Medicare baseline. Located in 225 Elyria Street, Lodi, OH.
Cash / Self-Pay
$17

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $17 (433%)
Insurance Median: $15 (382%)
Cash: $17 (433% of Medicare)
Ins. Median: $15 (382% 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 382% of the Medicare baseline (a markup of 282%). 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
Blue Cross Blue Shield $4 - $19 102%
UnitedHealthcare $4 - $16 102%
Mmo $5 - $14 127%
Humana $8 204%
Oscar $8 - $10 204%
Summacare $8 - $16 204%
United $8 - $19 204%
Aetna $9 - $26 229%
The Health Plan $10 - $21 254%
Amish Community Aid Plan $12 - $13 305%
Aultcare $13 331%
Ohcp $13 331%
Omas $13 331%
Buckeye $14 356%
Caresource $14 356%
Ohio Healthy $14 356%
Molina $15 382%
Amerihealth $16 407%
Php $16 407%
Phphi $16 407%
Upmc $16 407%
Cc Ehp $17 433%
Cigna $17 433%
Gms $18 458%
Medical Benefit Corp $18 458%
Consociate Health $20 509%
Frontpath $23 585%
Managed Care Services $23 585%
Multiplan $23 585%
Tertiary Care Network $23 585%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 225 Elyria Street, Lodi, OH 44254
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals