CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Astria Toppenish Hospital

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82947
Insurance Median: $13
Cash Discount Price: $31
vs. Medicare Baseline: 3.31x Medicare

The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Astria Toppenish Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $31. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 3.31x the Medicare baseline. Located in 502 W Fourth Ave, Toppenish, WA.

Cash / Self-Pay

$31

Average discount available for prompt cash payment at this facility.

Insurance Median

$13

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: $31 (789%)

Insurance Median: $13 (331%)

Cash: $31 (789% of Medicare)

Ins. Median: $13 (331% 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 331% of the Medicare baseline (a markup of 231%). 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
Medicaid / KanCare	$2 - $8	51%
Aetna	$4 - $44	102%
Ambetter / Centene	$4	102%
Cigna	$4	102%
Humana	$4 - $50	102%
Li	$4	102%
Medicare (plans)	$4 - $41	102%
Molina	$4	102%
Regence	$4 - $17	102%
Tricare	$4	102%
UnitedHealthcare	$4 - $41	102%
Va	$4	102%
Zenith	$4	102%
Premera	$5 - $19	127%
Premera_Affordable_Care	$5 - $19	127%
Molina_Exchange	$6	153%
Chpw_Cascade_Care	$8 - $32	204%
First_Choice	$9 - $34	229%
Tpsc	$10 - $39	254%
Bcchp	$13 - $50	331%
Great_Rivers	$13 - $50	331%
Healthcomp	$13 - $50	331%
Washington_State_Hca	$13 - $50	331%
Kaiser	$15	382%

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 $31.
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 Astria Toppenish 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.