CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Astria Sunnyside Hospital

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82947
Insurance Median: $104
Cash Discount Price: $80
vs. Medicare Baseline: 26.46x Medicare

The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Astria Sunnyside Hospital is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $80. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 26.46x the Medicare baseline. Located in 1016 Tacoma Avenue, Sunnyside, WA.

Cash / Self-Pay

$80

Average discount available for prompt cash payment at this facility.

Insurance Median

$104

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: $80 (2036%)

Insurance Median: $104 (2646%)

Cash: $80 (2036% of Medicare)

Ins. Median: $104 (2646% 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 2646% of the Medicare baseline (a markup of 2546%). 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	$4 - $125	102%
Healthcomp_Ihs	$4	102%
Humana	$4 - $128	102%
Medicare (plans)	$4	102%
Tricare	$4	102%
Va	$4	102%
Medicaid / KanCare	$34 - $44	865%
Molina	$34 - $35	865%
Regence	$71 - $73	1807%
Cigna	$83 - $85	2112%
Li	$85 - $87	2163%
First_Choice	$104 - $106	2646%
Kaiser	$108 - $112	2748%
Tpsc	$108 - $111	2748%
Premera	$112 - $116	2850%
UnitedHealthcare	$117 - $121	2977%
Fhpw	$121 - $125	3079%
Healthcomp	$124 - $128	3155%
Bcchp	$138 - $142	3511%
Great_Rivers	$138 - $142	3511%
Zenith	$138 - $142	3511%

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 $80.
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 Sunnyside 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.