CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Adventist Health Portland

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $15
  • Cash Discount Price: $50
  • vs. Medicare Baseline: 3.82x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Adventist Health Portland is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 3.82x the Medicare baseline. Located in 10123 Se Market Street, Portland, OR.
Cash / Self-Pay
$50

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $50 (1272%)
Insurance Median: $15 (382%)
Cash: $50 (1272% of Medicare)
Ins. Median: $15 (382% 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 382% of the Medicare baseline (a markup of 282%). 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 $3 - $10 76%
Care Oregon - All Plans $3 76%
Healthnet Epo/Pos/Ppo $3 - $10 76%
Healthnet Hmo/Pos - All Other Plans $3 - $10 76%
Ods - All Plans $3 76%
Pacific Source Comm - All Plans $3 - $10 76%
Providence Hp - All Plans $3 - $10 76%
Humana $4 102%
Kaiser Mcr Adv $4 102%
Moda Mcr Adv $4 102%
UnitedHealthcare $4 - $368 102%
Healthnet Mcr Adv $5 127%
Ah Employee Health Plan - All Plans $7 178%
Moda Conn Oebb/Syn Pebb $8 204%
Cigna $9 229%
Moda Affinity - All Other Plans $9 229%
Kaiser - All Other Plans $10 254%
Regence Ohsu Plus $10 254%
Regence - All Other Plans $11 280%
Moda Select $12 305%
Moda Connexus $14 356%
Moda Synergy $15 382%
Healthcare Resources - All Plans $16 - $55 407%
Workers Comp $24 - $85 611%
Bc Premera First - All Plans $34 - $122 865%
Worldventure - All Plans $41 - $147 1043%
Regence Preferred Mcr Adv $45 - $160 1145%
First Choice - All Plans $48 - $170 1221%
Multiplan - All Plans $52 - $184 1323%
Phcs - All Plans $52 - $184 1323%
Regence Mcr Adv $52 - $186 1323%
First Health-Coventry - All Plans $55 - $196 1399%
National Provider Network - All Plans $61 - $216 1552%
Health Payors Organization Ltd- All Plans $62 - $220 1578%
Moda Ohsu Ppo/Epo/Hmc $124 - $441 3155%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10123 Se Market Street, Portland, OR 97216
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals