CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Penn Presbyterian Medical Center

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $16
  • Cash Discount Price: $202
  • vs. Medicare Baseline: 4.07x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Penn Presbyterian Medical Center is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $202. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 4.07x the Medicare baseline. Located in 51 North 39Th Street, Philadelphia, PA.
Cash / Self-Pay
$202

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $202 (5140%)
Insurance Median: $16 (407%)
Cash: $202 (5140% of Medicare)
Ins. Median: $16 (407% 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 407% of the Medicare baseline (a markup of 307%). 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 - $384 51%
Cigna $2 - $122 51%
Ibc Commercial Hpn $2 51%
Keystone Hmo Proactive $2 51%
UnitedHealthcare $2 - $384 51%
Horizon Nj Health $3 - $68 76%
Aetna $4 - $384 102%
Clover Health Plan $4 102%
Geisinger Health Plan $4 - $12 102%
Health Partners $4 - $384 102%
Humana $4 - $307 102%
Ibc $4 102%
Keystone First $4 102%
Medicaid / KanCare $4 - $384 102%
Medicare (plans) $4 102%
Pa Health And Wellness $4 - $6 102%
Pa Medical Assistance $4 102%
Penn Life (Living Independently For Elders) $4 102%
Philadelphia Va Medical Center $4 102%
Tricare $4 102%
Upmc $4 - $384 102%
Us Family Health Plan $4 102%
Gateway Health Plan $5 127%
Keystone Mercy Health Plan $5 - $384 127%
Pgm - Regie De L'Assurance Maladie Quebec $5 - $88 127%
Preferred Health Care Eliance $5 - $96 127%
Claims Watcher $6 - $7 153%
Elap $6 153%
Centivo $7 178%
Elap Services $7 178%
Oscar Health Plan $7 178%
Pgm - Kuwait Defense $7 - $173 178%
Coventry $8 - $196 204%
Devon $8 - $173 204%
Highmark $8 204%
Pgm - Chop $8 - $154 204%
Qualcare $8 - $146 204%
Wissahickon Hospice $8 - $154 204%
Healthamerica/Coventry $9 - $188 229%
Olympus $9 - $182 229%
First Health Global $10 - $192 254%
Penn Global Medicine $10 254%
Urn-Cancer Resource Services $10 - $192 254%
Health Net $12 - $230 305%
Pgm - Royal Embassy Of Saudi Arabia $12 - $230 305%
Pgm - Embassy Of Qatar $13 - $250 331%
Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) $13 - $250 331%
Pgm - Embassy Of The United Emirates/Ipc $14 - $269 356%
Devon Health Services Inc $16 - $307 407%
Health America/Ccn $16 - $307 407%
Intergroup $16 - $307 407%
Pgm - Kuwait Health Division $16 - $307 407%
Pgm - Kuwait Oil $16 - $307 407%
Preferred Care $16 - $307 407%
Commercial Other $20 - $384 509%
International Pfs $20 - $384 509%
Magellan $20 - $384 509%
Quest Behavioral Health $20 - $384 509%
United Behavioral Health $20 - $384 509%
Workers Compensation $20 - $384 509%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 51 North 39Th Street, Philadelphia, PA 19104
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals