CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Aurora Medical Center Sheboygan County

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $27
  • Cash Discount Price: $25
  • vs. Medicare Baseline: 6.87x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Aurora Medical Center Sheboygan County is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 6.87x the Medicare baseline. Located in 2629 N 7Th St, Sheboygan, WI.
Cash / Self-Pay
$25

Average discount available for prompt cash payment at this facility.

Insurance Median
$27

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: $25 (636%)
Insurance Median: $27 (687%)
Cash: $25 (636% of Medicare)
Ins. Median: $27 (687% 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 687% of the Medicare baseline (a markup of 587%). 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
UnitedHealthcare $3 - $46 76%
Aurora Caregiver $4 102%
Blue Cross Blue Shield $4 - $47 102%
Common Ground $8 - $9 204%
Aetna $9 - $45 229%
Centivo $9 229%
Health Payment Systems $10 254%
Healthpartners $10 - $41 254%
Quartz One $10 254%
Cigna $11 - $47 280%
Hs Technology $11 280%
Molina Exchange $11 280%
Quartz Group $11 280%
Everpointe Elite $12 305%
Wisconsin Physician Service $13 331%
Trilogy $14 356%
Health Eos Plus $27 - $33 687%
Health Eos $36 - $44 916%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2629 N 7Th St, Sheboygan, WI 53083
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals