CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Tristar Southern Hills Medical Center

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $69
  • Cash Discount Price: $400
  • vs. Medicare Baseline: 17.56x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Tristar Southern Hills Medical Center is $69. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $400. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 17.56x the Medicare baseline. Located in 391 Wallace Rd, Nashville, TN.
Cash / Self-Pay
$400

Average discount available for prompt cash payment at this facility.

Insurance Median
$69

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: $400 (10178%)
Insurance Median: $69 (1756%)
Cash: $400 (10178% of Medicare)
Ins. Median: $69 (1756% 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 1756% of the Medicare baseline (a markup of 1656%). 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
Wellpoint $2 51%
Aetna $3 - $214 76%
Ambetter / Centene $4 102%
American Health Advantage $4 102%
Amerigroup $4 102%
Atrio Golden Times $4 102%
Blue Cross Blue Shield $4 - $22 102%
Bright Health $4 - $5 102%
Devoted Health Plan $4 102%
Evergreen Hmo $4 102%
Healthspring $4 102%
Humana $4 - $107 102%
Odyssey Healthcare $4 102%
Sarah Cannon Research $4 102%
Signature Advantage $4 102%
United $4 - $193 102%
Wellcare $4 102%
Zing $4 102%
Corvel Corporation $6 153%
Novanet $6 153%
Prime Health $6 - $377 153%
Cigna $7 - $140 178%
Oscar $12 305%
Kentucky Labor Cabinet $69 - $79 1756%
Apex Health $71 - $81 1807%
Nhc Advantage, Inc. $71 - $81 1807%
Pruitt Health (Allyalign) $71 - $81 1807%
Centurion $154 - $176 3919%
Bgfh Singlesource $187 - $364 4758%
Multiplan $217 - $248 5522%
Employers Health Network $262 - $300 6667%
Odom'S Tn Pride Sausage $280 - $321 7125%
Beech Street $329 - $377 8372%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 391 Wallace Rd, Nashville, TN 37211
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals