CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Childrens Medical Center Plano

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $71
  • Cash Discount Price: $86
  • vs. Medicare Baseline: 18.07x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Childrens Medical Center Plano is $71. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $86. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 18.07x the Medicare baseline. Located in 7601 Preston Road, Plano, TX.
Cash / Self-Pay
$86

Average discount available for prompt cash payment at this facility.

Insurance Median
$71

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: $86 (2188%)
Insurance Median: $71 (1807%)
Cash: $86 (2188% of Medicare)
Ins. Median: $71 (1807% 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 1807% of the Medicare baseline (a markup of 1707%). 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
Aetna $4 - $94 102%
Humana $4 - $100 102%
Medicaid / KanCare $4 102%
Oklahoma Complete Health $4 102%
Superior Health Plan $4 102%
Firstcare Health $22 - $31 560%
Wellpoint $28 - $39 712%
Molina Healthcare $30 - $43 763%
Parkland Community $31 - $44 789%
Texas Children'S Health Plan $31 - $44 789%
Cookchildren'S Health Plan $32 - $46 814%
Carelon $35 - $66 891%
Blue Cross Blue Shield $38 - $91 967%
UnitedHealthcare $50 - $100 1272%
Methodist $54 - $76 1374%
Cigna $63 - $92 1603%
Employers Health Network $66 - $94 1679%
Imagine Health $66 - $94 1679%
Scott & White $67 - $95 1705%
Txp Emerging Therapy Solutions $67 - $95 1705%
Healthsmart $69 - $114 1756%
Healthscope Benefit Solutions $71 - $100 1807%
Phcs $71 - $100 1807%
Quiktrip (Qt) $71 - $100 1807%
Txp Interlink $71 - $100 1807%
Coventry Health $76 - $107 1934%
Equifax Healthcare $81 - $114 2061%
Multiplan $81 - $114 2061%
Usa Managed Care $88 - $125 2239%
Galaxy Health $92 - $130 2341%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7601 Preston Road, Plano, TX 75024
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens