CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Sweeny Community Hospital

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82947
Insurance Median: $35
Cash Discount Price: $36
vs. Medicare Baseline: 8.91x Medicare

The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Sweeny Community Hospital is $35. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $36. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 8.91x the Medicare baseline. Located in 305 North McKinney, Sweeny, TX.

Cash / Self-Pay

$36

Average discount available for prompt cash payment at this facility.

Insurance Median

$35

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: $36 (916%)

Insurance Median: $35 (891%)

Cash: $36 (916% of Medicare)

Ins. Median: $35 (891% 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 891% of the Medicare baseline (a markup of 791%). 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
Aetna	$2 - $35	51%
Blue Cross Blue Shield	$18 - $30	458%
Evercare Mcaid	$30	763%
UnitedHealthcare	$32 - $48	814%
Amerigroup Mcr Adv - All Other Plans	$35	891%
Care Improvement Mcr - All Plans	$35	891%
Choicecare Mcr Adv - All Plans	$35	891%
Community Hlth Choice Him - All Other Plans	$35	891%
Coventry Mcr Adv	$35	891%
Molina Mcr Adv - All Other Plans	$35	891%
Superior Hp Mcr Adv-All Other Plans	$35	891%
Wellcare Mcare - All Plans	$35	891%
Cigna	$39	992%
Community Hlth Choice Star	$42	1069%
Molina Mcaid	$42	1069%
Superior Hp Mcaid	$42	1069%
Tx Chlidrens Hp Mcaid - All Plans	$42	1069%
Tx True Choice Mcaid - All Plans	$42	1069%
Beech Street - All Plans	$45	1145%
Community Care Network - All Plans	$48	1221%
Galaxy Health Network - All Plans	$54	1374%
Multiplan - All Plans	$54	1374%
Evercare Mcr Adv - All Other Plans	$58	1476%
Amerigroup Mcaid	$60	1527%

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 $36.
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 Sweeny Community Hospital 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.