CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: UPMC Northwest

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $23
  • Cash Discount Price: $35
  • vs. Medicare Baseline: 5.85x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at UPMC Northwest is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 5.85x the Medicare baseline. Located in 100 Fairfield Drive, Seneca, PA.
Cash / Self-Pay
$35

Average discount available for prompt cash payment at this facility.

Insurance Median
$23

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: $35 (891%)
Insurance Median: $23 (585%)
Cash: $35 (891% of Medicare)
Ins. Median: $23 (585% 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 585% of the Medicare baseline (a markup of 485%). 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 - $38 102%
Amerihealth Caritas $4 - $6 102%
Blue Cross Blue Shield $4 - $24 102%
Geisinger $4 102%
Highmark Wholecare (Prev Gateway) $4 - $6 102%
Pa Health & Wellness $4 - $7 102%
UnitedHealthcare $4 - $5 102%
Upmc Health Plan $4 - $8 102%
Upmc Work Partners $4 102%
Cigna $23 - $38 585%
Intergroup $38 - $3,704 967%
Coventry/First Health $41 1043%
Health Coalition Partners $42 1069%
Private Health Care Systems $46 1170%
Humana $49 1247%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 Fairfield Drive, Seneca, PA 16346
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals