CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Texas Orthopedic Hospital

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $4
  • Cash Discount Price: $222
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Texas Orthopedic Hospital is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $222. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 1.02x the Medicare baseline. Located in 7401 South Main Street, Houston, TX.
Cash / Self-Pay
$222

Average discount available for prompt cash payment at this facility.

Insurance Median
$4

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: $222 (5649%)
Insurance Median: $4 (102%)
Cash: $222 (5649% of Medicare)
Ins. Median: $4 (102% 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
Amerigroup $3 - $4 76%
Community Health Choice Mcd $3 76%
Texas Childrens Health Plans $3 - $37 76%
Texas Health Network $3 76%
United $3 - $100 76%
Aetna $4 - $23 102%
American Health Plan $4 102%
Blue Cross Blue Shield $4 - $78 102%
Christus (Usfhp) $4 102%
Cigna $4 - $22 102%
Devoted Health $4 102%
Humana $4 - $52 102%
Integranet Amerigroup Ipa $4 102%
Kelsey Seybold $4 102%
Molina $4 102%
Molina Healthcare $4 - $9 102%
Oscar $4 - $11 102%
Procare Advantage $4 102%
Provider Partners Health Plan Of Texas $4 102%
Shared Health $4 102%
Superior Health Plan $4 - $13 102%
Triwest Healthcare Alliance $4 102%
Van Lang Ipa $4 102%
Wellcare $4 102%
Wellmed $4 102%
Universal Healthcare Group $5 127%
Verda Health Plan $5 127%
Community Health Choice $6 153%
Superior $6 153%
Corvel Corporation $8 204%
Omni Healthcare $8 204%
Healthcare Highways $12 305%
Texas Workforce Commission $53 1349%
Evry Health $60 1527%
Imagine Health $78 1985%
Healthsmart Preferred Care $95 - $188 2417%
Averde Health $100 2545%
Fidelis Securecare Of Tx $100 2545%
Coventry National First Health $118 3003%
Physicians Cooperative Of Texas $122 3104%
Rockport Workers Comp $122 3104%
Independent Medical System $133 3384%
National Healthcare Solutions $133 3384%
Southwest Medical $133 3384%
Coastal Comp $144 3664%
Multiplan $166 - $188 4224%
International Health Insurance $177 4504%
Physicians, Inc $188 4784%
Affiliated Ppo $199 5064%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7401 South Main Street, Houston, TX 77030
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals