CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Lancaster General Hospital

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $11
  • Cash Discount Price: $21
  • vs. Medicare Baseline: 2.80x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Lancaster General Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 2.80x the Medicare baseline. Located in 555 North Duke Street, Lancaster, PA.
Cash / Self-Pay
$21

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $21 (534%)
Insurance Median: $11 (280%)
Cash: $21 (534% of Medicare)
Ins. Median: $11 (280% 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 280% of the Medicare baseline (a markup of 180%). 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
Blue Cross Blue Shield $2 - $25 51%
Hospice And Community Care $2 - $6 51%
Highmark $3 - $29 76%
Lg Coresource/Lg Eliance $3 - $8 76%
Old Order Group $3 - $9 76%
Tricare $3 76%
Aetna $4 - $17 102%
Albright Life $4 102%
Amerihealth Caritas $4 102%
Cigna $4 - $24 102%
Coatesville Va $4 102%
Devoted Health $4 102%
Health Partners Mcr Advantage $4 102%
Highmark Commercial Preferred $4 - $29 102%
Hospice Generic $4 102%
Lancashire Hall $4 - $29 102%
Lancaster County Mh $4 102%
Lebanon Veterans Hospital $4 102%
Medicaid / KanCare $4 - $8 102%
Medicare (plans) $4 102%
Nursing Home Op Services $4 - $9 102%
Pa Health And Wellness Mcr $4 102%
UnitedHealthcare $4 - $25 102%
Affilia Home Health $5 - $29 127%
Eliance Health Solutions $5 - $19 127%
Gateway $5 127%
Masonic Homes $5 - $29 127%
Elap Employees $6 153%
Highmark Commercial Non-Preferred $6 - $29 153%
Preferred Healthcare $7 - $25 178%
Upmc For You $7 178%
Oscar Health Plan $8 204%
Devon $10 - $25 254%
Ehp $10 - $24 254%
Geisinger Commercial $10 - $25 254%
Intergroup Services $10 - $25 254%
Upmc Commercial $10 - $25 254%
Medi-Share Christian Care $11 - $28 280%
Claim Watcher Plus $12 305%
Commercial Generic $12 - $29 305%
Magellan $12 - $29 305%
United Behavioral Health $12 - $29 305%
Value Options $12 - $29 305%
Workers Compensation $12 - $29 305%
Claim Watcher $13 331%
Elap Other Groups $14 356%
Gift Of Life Donor Program $13,500 343511%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 555 North Duke Street, Lancaster, PA 17602
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals