CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Wellspan Surgery and Rehabilitation Hospital

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $15
  • Cash Discount Price: $15
  • vs. Medicare Baseline: 3.82x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Wellspan Surgery and Rehabilitation Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 3.82x the Medicare baseline. Located in 55 Monument Road, York, PA.
Cash / Self-Pay
$15

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $15 (382%)
Insurance Median: $15 (382%)
Cash: $15 (382% of Medicare)
Ins. Median: $15 (382% 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 382% of the Medicare baseline (a markup of 282%). 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 - $18 102%
Johns_Hopkins_Healthcare_Plan $4 - $19 102%
Medicaid / KanCare $4 - $7 102%
Medicare (plans) $4 - $5 102%
Highmark $6 - $20 153%
Blue_Cross $11 - $18 280%
United_Healthcare $12 305%
Cigna $16 - $18 407%
First_Health_Network $16 - $18 407%
Wellspan_Capital_Blue_Cross $18 458%
Geisinger $19 483%
Phc $19 483%
Upmc $19 483%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 55 Monument Road, York, PA 17403
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals