CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: North Austin Medical Center

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $23
  • Cash Discount Price: $243
  • vs. Medicare Baseline: 5.85x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at North Austin Medical Center is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $243. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 5.85x the Medicare baseline. Located in 12221 Mopac Expressway North, Austin, TX.
Cash / Self-Pay
$243

Average discount available for prompt cash payment at this facility.

Insurance Median
$23

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: $243 (6183%)
Insurance Median: $23 (585%)
Cash: $243 (6183% of Medicare)
Ins. Median: $23 (585% 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 585% of the Medicare baseline (a markup of 485%). 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
Blue Cross Blue Shield $3 - $134 76%
St David’S Hospice $3 - $4 76%
Superior Health Plan $3 - $77 76%
United $3 - $204 76%
Aetna $4 - $34 102%
American Health Plan Of Texas $4 102%
Cigna $4 - $11 102%
Devoted Health $4 102%
Humana $4 102%
Imperial Insurance $4 102%
Molina Healthcare $4 102%
Odyssey Hospice $4 102%
Provider Partners Health Plan $4 102%
Pyramid Life $4 102%
Sendero $4 - $7 102%
Shared Health $4 102%
Texas Independent Health Plan $4 102%
Triwest Health Alliance $4 102%
Triwest Healthcare Alliance $4 102%
UnitedHealthcare $4 - $204 102%
Wellcare $4 102%
Wellmed $4 102%
Amerigroup $5 127%
Austin Fc $5 127%
Universal Health $5 127%
Naphcare $6 153%
Seven Corners $6 153%
Corvel Corporation $8 204%
Oscar $11 - $12 280%
Moda $14 - $106 356%
Covenant Management Systems $17 - $130 433%
Healthcare Highways $17 - $136 433%
Imo Med - Select Network $17 - $136 433%
Nomi Health $19 - $168 483%
Evry Health $21 - $167 534%
Moda Health $21 - $168 534%
Texas Healthcare Foundation Heb $21 - $168 534%
Harbor Health Team $23 - $181 585%
Texas Workforce Commission $23 - $177 585%
Averde Health $26 - $204 662%
Comanche County $29 - $226 738%
National Choicecare $29 - $226 738%
Healthsmart Preferred Care $32 - $362 814%
Independent Medical Systems $32 - $249 814%
Physicians Cooperative Of Texas $32 - $249 814%
Prime Health $35 - $272 891%
First Health $36 - $322 916%
Coastal Comp Health Networks $38 - $294 967%
National Health Care $38 - $294 967%
Texas Municipal League $41 - $317 1043%
Medcorp Southwest $44 - $340 1120%
Rockport Healthcare Group $46 - $408 1170%
Bce Emergis Corporation $52 - $408 1323%
Beech Street $52 - $408 1323%
Medical Control Network Solutions $52 - $408 1323%
Multiplan $52 - $408 1323%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12221 Mopac Expressway North, Austin, TX 78758
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals