CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Pawhuska Hospital, Inc

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82947
Insurance Median: $39
Cash Discount Price: $31
vs. Medicare Baseline: 9.92x Medicare

The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Pawhuska Hospital, Inc is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $31. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 9.92x the Medicare baseline. Located in 1101 East 15Th Street, Pawhuska, OK.

Cash / Self-Pay

$31

Average discount available for prompt cash payment at this facility.

Insurance Median

$39

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: $31 (789%)

Insurance Median: $39 (992%)

Cash: $31 (789% of Medicare)

Ins. Median: $39 (992% 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 992% of the Medicare baseline (a markup of 892%). 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
UnitedHealthcare	$2 - $38	51%
Healthchoice Ip/Op Only - All Plans	$6	153%
Community Care Comm - All Plans	$10	254%
Blue Cross Blue Shield	$28 - $45	712%
Aetna	$31 - $53	789%
Humana	$31 - $53	789%
Tricare	$31	789%
Wellcare Mcr Adv - All Plans	$31	789%
Healthcare Highways - All Plans	$34	865%
Cigna	$36	916%
Multiplan - All Plans	$40	1018%
Ambetter / Centene	$46	1170%
Preferred Commchoice Ip/Op Only - All Plans	$48	1221%
Soonerselect Mcaid - All Plans	$53	1349%

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 $31.
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 Pawhuska Hospital, Inc 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.