CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Children's Hospital of Philadelphia

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82947
Insurance Median: $61
Cash Discount Price: $136
vs. Medicare Baseline: 15.52x Medicare

The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Children's Hospital of Philadelphia is $61. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $136. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 15.52x the Medicare baseline. Located in 3401 Civic Center Blvd, Philadelphia, PA.

Cash / Self-Pay

$136

Average discount available for prompt cash payment at this facility.

Insurance Median

$61

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: $136 (3461%)

Insurance Median: $61 (1552%)

Cash: $136 (3461% of Medicare)

Ins. Median: $61 (1552% 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 1552% of the Medicare baseline (a markup of 1452%). 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
Geisinger Medical Assistance	$5	127%
Highmark Wholecare	$6	153%
Medicaid / KanCare	$9 - $77	229%
UnitedHealthcare	$9 - $257	229%
Health Partners	$10 - $88	254%
Aetna	$12 - $234	305%
Upmc Medical Assistance	$14 - $128	356%
Horizon Nj Health	$16	407%
Keystone First Chip	$16 - $145	407%
Keystone Health Plan East	$17 - $148	433%
Blue Cross Blue Shield	$19 - $187	483%
Geisinger Health Plan Commercial	$23 - $206	585%
Jefferson Health Plans	$25 - $221	636%
Cigna	$26 - $234	662%
Highmark	$26 - $234	662%
Qualcare	$29 - $257	738%
First Health Network	$34 - $304	865%
Devon Health, Intergroup, Multiplan, Valley Preferred/Populytics	$42 - $374	1069%
Private Health Care Systems	$42 - $374	1069%
Choice Care Network	$47 - $421	1196%

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 $136.
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 Children's Hospital of Philadelphia 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.