CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Sanford Clear Lake Medical Center

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $50
  • Cash Discount Price: $48
  • vs. Medicare Baseline: 12.72x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Sanford Clear Lake Medical Center is $50. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $48. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 12.72x the Medicare baseline. Located in 701 Third Avenue South, Clear Lake, SD.
Cash / Self-Pay
$48

Average discount available for prompt cash payment at this facility.

Insurance Median
$50

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: $48 (1221%)
Insurance Median: $50 (1272%)
Cash: $48 (1221% of Medicare)
Ins. Median: $50 (1272% 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 1272% of the Medicare baseline (a markup of 1172%). 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
Sanford Health Plan Align $31 789%
Aetna $33 - $52 840%
Health Partners $33 - $45 840%
Medicare (plans) $33 840%
Security Health Plan $33 840%
Ucare $33 - $53 840%
UnitedHealthcare $33 - $50 840%
Wellmark Sd $33 840%
Primewest $34 865%
Sanford Health Plan $42 - $56 1069%
Blue Cross Blue Shield $49 - $56 1247%
Medica $50 - $53 1272%
Wellmark $52 1323%
Cigna $54 1374%
First Choice Health Network $54 1374%
Healthez $54 1374%
Multiplan $54 1374%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 Third Avenue South, Clear Lake, SD 57226
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals