CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Adena Fayette Medical Center

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82947
Insurance Median: $12
Cash Discount Price: $9
vs. Medicare Baseline: 3.05x Medicare

The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Adena Fayette Medical Center is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 3.05x the Medicare baseline. Located in 1430 Columbus Avenue, Washington Ch, OH.

Cash / Self-Pay

Average discount available for prompt cash payment at this facility.

Insurance Median

$12

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: $9 (229%)

Insurance Median: $12 (305%)

Cash: $9 (229% of Medicare)

Ins. Median: $12 (305% 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 305% of the Medicare baseline (a markup of 205%). 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
Blue Cross Blue Shield	$5 - $12	127%
Aetna	$8 - $28	204%
Buckeye Community Health Plan	$8	204%
Care Source	$8	204%
Humana	$8	204%
Medical Mutual Of Ohio	$8 - $14	204%
Medigold	$8	204%
Molina	$8	204%
Molina Marketplace	$8	204%
United Medical Resources Ohcp	$12	305%
UnitedHealthcare	$12	305%
Cigna	$13	331%
Ohio Ppo Connect	$13	331%
The Health Plan	$13	331%
Care Source Just4Me	$14	356%
Medical Mutual Of Ohio Supermed	$14	356%
First Health	$15 - $28	382%
Ohio Health Choice	$15	382%
Multiplan/Private Healthcare Systems	$18	458%
Sidecar Health	$21	534%

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 $9.
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 Adena Fayette Medical 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.