CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Ohiohealth Morrow County Hospital

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $15
  • Cash Discount Price: $23
  • vs. Medicare Baseline: 3.82x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Ohiohealth Morrow County Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 3.82x the Medicare baseline. Located in 651 West Marion Road, Mount Gilead, OH.
Cash / Self-Pay
$23

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: $23 (585%)
Insurance Median: $15 (382%)
Cash: $23 (585% 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 $2 - $15 51%
Aetna $13 - $31 331%
Humana $13 - $33 331%
Medicare (plans) $13 331%
UnitedHealthcare $13 - $29 331%
Medicaid / KanCare $14 - $15 356%
Amerihealth Caritas - All Plans $15 382%
Caresource Marketplace - All Other Plans $17 433%
Molina Exchange - All Other Plans $24 611%
Medical Mutual Of Ohio Marketplace $27 687%
Ohiohealthy Network - All Other Plans $27 687%
Ohiohealthy Preferred $27 687%
Medical Mutual Of Ohio Comm - All Other Plans $29 738%
Medical Mutual Of Ohio - Admin Serv $30 763%
Phcs - All Plans $33 840%
Cigna $34 865%
Healthstar Comm - All Plans $34 865%
Multiplan - All Plans $34 865%
Beech Street - All Plans $35 891%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 651 West Marion Road, Mount Gilead, OH 43338
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals