CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: St Mary Medical Center

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $7
  • Cash Discount Price: $26
  • vs. Medicare Baseline: 1.78x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at St Mary Medical Center is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 1.78x the Medicare baseline. Located in Langhorne-Newtown Rd, Langhorne, PA.
Cash / Self-Pay
$26

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $26 (662%)
Insurance Median: $7 (178%)
Cash: $26 (662% of Medicare)
Ins. Median: $7 (178% 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.

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 - $36 102%
Align Senior Care $4 102%
Blue Cross Blue Shield $4 - $15 102%
Cigna $4 - $21 102%
Medicare (plans) $4 - $7 102%
Pace-Trinity Health $4 102%
Health America Advantra $5 127%
Medicaid / KanCare $5 - $10 127%
Amerihealth $6 153%
Blue Shield - Ca $6 153%
Blue Shield - Id (Regence) $6 153%
Blue Shield - Ny Highmark Western $6 153%
Blue Shield - Wa (Regence) $6 153%
Ambetter / Centene $7 178%
Jefferson Health Plan Commercial $7 178%
Oscar $7 178%
Prime Healthcare $7 178%
UnitedHealthcare $7 - $19 178%
Homestead Health Plans Woods Center $8 204%
Group Pension Administrators $9 229%
Reedman Toll $9 229%
Keystone First $10 254%
Keystone First Chip $10 254%
Blue Shield - Pa (Highmark) $11 280%
Geha $16 407%
Upmc Health Plan $21 534%
Webtpa $21 534%
Meritain $36 916%
Multiplan $36 916%
Prime Health Services $36 916%
Galaxy Health Network $38 967%
Three Rivers Provider Network $38 967%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Langhorne-Newtown Rd, Langhorne, PA 19047
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals