CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Mercy Hospital Tishomingo Inc

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $32
  • Cash Discount Price: $42
  • vs. Medicare Baseline: 8.14x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Mercy Hospital Tishomingo Inc is $32. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $42. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 8.14x the Medicare baseline. Located in 1000 South Byrd St, Tishomingo, OK.
Cash / Self-Pay
$42

Average discount available for prompt cash payment at this facility.

Insurance Median
$32

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: $42 (1069%)
Insurance Median: $32 (814%)
Cash: $42 (1069% of Medicare)
Ins. Median: $32 (814% 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 814% of the Medicare baseline (a markup of 714%). 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 - $43 102%
Blue Cross Blue Shield $4 - $30 102%
Humana $4 - $52 102%
Medicaid / KanCare $4 - $20 102%
Health Choice Contracted [320166] $5 127%
Ambetter / Centene $20 509%
Home State Health Plan Contracted [320187] $20 509%
Novasys Contracted [320285] $20 509%
Webtpa Contracted [320417] $27 687%
Medicare (plans) $30 - $42 763%
Cherokee Nation Health Serv Contracted [320066] $31 789%
Cross Timbers Hospice [20098] $31 789%
Dept Of Veteran Affairs Contracted [320106] $31 789%
Elara Caring Aspire Hospice Contracted [320433] $31 789%
Elara Caring Aspire Hospice [20433] $31 789%
Halo Hcr Inc Hospice Contracted [320432] $31 789%
Halo Hcr Inc Hospice [20432] $31 789%
Independent Health [20197] $31 789%
Indian Health Service Contracted [320198] $31 789%
Kindful Hospice Contracted [320434] $31 789%
Kindful Hospice [20434] $31 789%
Medical Associates Health [20444] $31 789%
Mercy Hospice Okc [20252] $31 789%
Provider Partners Health Plans Contracted [320450] $31 789%
Qual Choice Contracted [320325] $31 789%
Tribute Health Plan Mcr Contracted [320338] $31 789%
Tricare $31 789%
UnitedHealthcare $31 - $51 789%
Cigna $32 - $49 814%
Globalhealth Contracted [320145] $32 814%
Aither Health Contracted [320449] $39 - $55 992%
Mercy Benefit Admin Contracted [320251] $39 - $55 992%
Quik Trip Contracted [320447] $39 992%
Show-Me Health Administrators Contracted [320483] $39 992%
Medica Contracted [320239] $42 1069%
First Health Contracted [320128] $43 1094%
Osma Health Contracted [320292] $46 1170%
Benefit Management Contracted [320052] $49 - $58 1247%
Healthcare Highways Plus Contracted [320175] $49 1247%
Private Health Care Systems Contracted [320320] $49 - $52 1247%
United Medical Resources Contracted [320454] $51 1298%
Multiplan Contracted [320270] $52 - $58 1323%
Auxiant Contracted [320462] $55 1399%
Ebms Contracted [320493] $55 1399%
Healthlink Contracted [320179] $55 1399%
Imagine 360 Contracted [320494] $55 1399%
Preferred Community Choice Contracted [320311] $55 1399%
Reflect Health Contracted [320492] $55 1399%
Yuzu Health Contracted [320521] $55 1399%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 South Byrd St, Tishomingo, OK 73460
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals