CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Forks Community Hospital

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82947
Insurance Median: $51
Cash Discount Price: $84
vs. Medicare Baseline: 12.98x Medicare

The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Forks Community Hospital is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 12.98x the Medicare baseline. Located in 530 Bogachiel Way, Forks, WA.

Cash / Self-Pay

$84

Average discount available for prompt cash payment at this facility.

Insurance Median

$51

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: $84 (2137%)

Insurance Median: $51 (1298%)

Cash: $84 (2137% of Medicare)

Ins. Median: $51 (1298% 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 1298% of the Medicare baseline (a markup of 1198%). 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
UnitedHealthcare	$4 - $96	102%
Medicaid / KanCare	$34 - $41	865%
Coordinated Care (Mco) Mcd-All Plans	$36 - $42	916%
Community Health Network Mcr-All Other Plans	$44 - $51	1120%
Humana	$44 - $51	1120%
Tricare	$44 - $51	1120%
Triwest-All Plans	$44 - $51	1120%
Ambetter / Centene	$51 - $59	1298%
Wellcare Med Adv - All Plans	$51 - $59	1298%
Regence-All Other Plans	$56 - $65	1425%
Community Health Exchange	$63 - $73	1603%
Molina Commercial-All Other Plans	$89 - $104	2265%
Aetna	$92 - $107	2341%
Blue Cross Blue Shield	$92 - $107	2341%
Cigna	$97 - $113	2468%
First Choice-All Plans	$97 - $113	2468%
Medicare (plans)	$318	8092%

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 $84.
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 Forks 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.