CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Mercy Hospital Ada

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $10
  • Cash Discount Price: $14
  • vs. Medicare Baseline: 2.54x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Mercy Hospital Ada is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 2.54x the Medicare baseline. Located in 430 North Monte Vista, Ada, OK.
Cash / Self-Pay
$14

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $14 (356%)
Insurance Median: $10 (254%)
Cash: $14 (356% of Medicare)
Ins. Median: $10 (254% 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 254% of the Medicare baseline (a markup of 154%). 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 - $17 102%
Blue Cross Blue Shield $4 102%
Cherokee Nation Health Serv Contracted [320066] $4 102%
Cigna $4 102%
Cross Timbers Hospice [20098] $4 102%
Dept Of Veteran Affairs Contracted [320106] $4 102%
Elara Caring Aspire Hospice Contracted [320433] $4 102%
Elara Caring Aspire Hospice [20433] $4 102%
Globalhealth Contracted [320145] $4 102%
Halo Hcr Inc Hospice Contracted [320432] $4 102%
Halo Hcr Inc Hospice [20432] $4 102%
Humana $4 102%
Independent Health [20197] $4 102%
Indian Health Service Contracted [320198] $4 102%
Kindful Hospice Contracted [320434] $4 102%
Kindful Hospice [20434] $4 102%
Medicaid / KanCare $4 - $5 102%
Medical Associates Health [20444] $4 102%
Medicare (plans) $4 - $22 102%
Mercy Hospice Okc [20252] $4 102%
Provider Partners Health Plans Contracted [320450] $4 102%
Qual Choice Contracted [320325] $4 102%
Tricare $4 102%
UnitedHealthcare $4 - $5 102%
Ambetter / Centene $5 127%
Health Choice Contracted [320166] $5 127%
Home State Health Plan Contracted [320187] $5 127%
Medica Contracted [320239] $5 - $22 127%
Novasys Contracted [320285] $5 127%
United Medical Resources Contracted [320454] $5 - $13 127%
Healthcare Highways Plus Contracted [320175] $9 - $16 229%
Healthsmart Preferred Care Contracted [320184] $9 229%
Kempton Contracted [320214] $9 229%
Webtpa Contracted [320417] $9 229%
Workers Comp [20426] $9 229%
Osma Health Contracted [320292] $10 254%
Benefit Management Contracted [320052] $11 - $14 280%
Aither Health Contracted [320449] $13 331%
Auxiant Contracted [320462] $13 331%
Ebms Contracted [320493] $13 331%
Federal Medical Center Contracted [320127] $13 331%
Healthlink Contracted [320179] $13 331%
Healthscope Contracted [320182] $13 331%
Imagine 360 Contracted [320494] $13 331%
Mercy Benefit Admin Contracted [320251] $13 - $14 331%
Point C Contracted [320238] $13 331%
Preferred Health Plan Contracted [320522] $13 331%
Quik Trip Contracted [320447] $13 331%
Reflect Health Contracted [320492] $13 331%
Show-Me Health Administrators Contracted [320483] $13 331%
Yuzu Health Contracted [320521] $13 331%
Globalhealth Contracted [320144] $14 356%
First Health Contracted [320128] $18 458%
Multiplan Contracted [320270] $19 483%
Private Health Care Systems Contracted [320320] $19 483%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 430 North Monte Vista, Ada, OK 74820
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals