CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Othello Community Hospital

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $62
  • Cash Discount Price: $58
  • vs. Medicare Baseline: 15.78x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Othello Community Hospital is $62. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $58. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 15.78x the Medicare baseline. Located in 315 North 14Th Avenue, Othello, WA.
Cash / Self-Pay
$58

Average discount available for prompt cash payment at this facility.

Insurance Median
$62

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: $58 (1476%)
Insurance Median: $62 (1578%)
Cash: $58 (1476% of Medicare)
Ins. Median: $62 (1578% 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 1578% of the Medicare baseline (a markup of 1478%). 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
Ambetter / Centene $33 - $34 840%
Amerigroup Mcaid $33 840%
Chp - All Other Plans $33 - $34 840%
Chp Mcaid $33 840%
Cocare - All Plans $33 840%
Gau - All Plans $33 840%
Kaiser - All Plans $33 840%
Molina - All Other Plans $33 - $34 840%
Molina Mcaid $33 840%
UnitedHealthcare $33 - $78 840%
Medicare (plans) $39 992%
Tricare $50 - $51 1272%
Triwest - All Plans $50 - $51 1272%
Asuris - All Plans $62 - $63 1578%
Commercial Other - All Plans $62 - $63 1578%
Hma - All Plans $62 - $63 1578%
Hmso - All Plans $62 - $63 1578%
Tpsc - All Plans $62 - $63 1578%
Travelers - All Plans $62 - $63 1578%
Veterans Admin - All Plans $62 - $63 1578%
Blue Cross Blue Shield $65 - $66 1654%
Cigna $69 - $70 1756%
First Choice - All Plans $70 1781%
Aetna $73 - $74 1858%
Chp Mcr Adv $77 - $78 1959%
Health Alliance Mcr Adv - All Plans $77 - $78 1959%
Humana $77 - $78 1959%
Molina Mcare $77 - $78 1959%
Wellcare Mcr Adv - All Plans $77 - $78 1959%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 315 North 14Th Avenue, Othello, WA 99344
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals