CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: UPMC Presbyterian Shadyside

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82947
Insurance Median: $34
Cash Discount Price: $203
vs. Medicare Baseline: 8.65x Medicare

The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at UPMC Presbyterian Shadyside is $34. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $203. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 8.65x the Medicare baseline. Located in 200 Lothrop Street, Pittsburgh, PA.

Cash / Self-Pay

$203

Average discount available for prompt cash payment at this facility.

Insurance Median

$34

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: $203 (5165%)

Insurance Median: $34 (865%)

Cash: $203 (5165% of Medicare)

Ins. Median: $34 (865% 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 865% of the Medicare baseline (a markup of 765%). 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
Aetna	$4 - $5	102%
Amerihealth Caritas	$4 - $6	102%
Cigna	$4	102%
Health Partners Plans (Jefferson Health Plan)	$4	102%
Highmark Wholecare (Prev Gateway)	$4 - $6	102%
Pa Health & Wellness	$4 - $7	102%
UnitedHealthcare	$4 - $5	102%
Upmc Health Plan	$4 - $9	102%
Upmc Work Partners	$4	102%
Multiplan	$5 - $270	127%
Geisinger	$6	153%
Blue Cross Blue Shield	$8 - $34	204%
Preferred Healthcare System	$220	5598%
Coventry/First Health	$237	6031%
Fidelis	$254	6463%
Intergroup	$254 - $287	6463%
Health Coalition Partners	$270	6870%
Private Health Care Systems	$270	6870%
Selectcare	$270	6870%
Health Payors Organization	$287	7303%
Humana	$287	7303%

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 $203.
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 UPMC Presbyterian Shadyside 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.