CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Adena Pike Medical Center

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $14
  • Cash Discount Price: $9
  • vs. Medicare Baseline: 3.56x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Adena Pike Medical Center is $14. 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 3.56x the Medicare baseline. Located in 100 Dawn Lane, Waverly, OH.
Cash / Self-Pay
$9

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $14 (356%)
Cash: $9 (229% of Medicare)
Ins. Median: $14 (356% 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 356% of the Medicare baseline (a markup of 256%). 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 - $28 102%
Blue Cross Blue Shield $4 - $16 102%
Buckeye Community Health Plan $4 102%
Humana $4 - $18 102%
Medical Mutual Of Ohio $4 - $12 102%
Medigold $4 102%
Molina $4 102%
Care Source $5 127%
Gateway Health $6 153%
Molina Marketplace $7 178%
Care Source Just4Me $8 204%
Sidecar Health $12 305%
Ohio Ppo Connect $13 331%
The Health Plan $13 331%
Cigna $14 356%
Medical Mutual Of Ohio Supermed $14 356%
First Health $15 - $28 382%
Ohio Health Choice $15 382%
Healthsmart $18 458%
Integrated Health Plan $18 458%
Multiplan/Private Healthcare Systems $18 458%
Three Rivers Network $18 458%
UnitedHealthcare $80 2036%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 Dawn Lane, Waverly, OH 45690
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals