CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Marshfield Medical Center - Beaver Dam (Mmc-Bd)

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82947
Insurance Median: $49
Cash Discount Price: $62
vs. Medicare Baseline: 12.47x Medicare

The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Marshfield Medical Center - Beaver Dam (Mmc-Bd) is $49. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 12.47x the Medicare baseline. Located in 707 S University Ave, Beaver Dam, WI.

Cash / Self-Pay

$62

Average discount available for prompt cash payment at this facility.

Insurance Median

$49

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: $62 (1578%)

Insurance Median: $49 (1247%)

Cash: $62 (1578% of Medicare)

Ins. Median: $49 (1247% 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 1247% of the Medicare baseline (a markup of 1147%). 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
Blue Cross Blue Shield	$4 - $21	102%
Group Health Cooperative Of Eau Claire	$4 - $65	102%
Humana	$4 - $61	102%
Icare	$4	102%
Managed Health Services	$4	102%
Molina Healthcare Of Wi	$4 - $58	102%
My Choice	$4	102%
Network Health Plan	$4 - $57	102%
Quartz	$4 - $39	102%
Security Health Plan (Shp)	$4 - $40	102%
Trilogy	$4 - $62	102%
UnitedHealthcare	$4 - $14	102%
Veteran'S Administration (Va Ccn)	$4	102%
The Alliance	$31 - $35	789%
Amish/Mennonite	$34 - $38	865%
Cigna	$42 - $51	1069%
Wps Health Insurance	$42 - $46	1069%
Health Payment Systems	$43 - $48	1094%
First Health	$53 - $58	1349%
Healtheos By Multiplan Inc.	$58 - $65	1476%
Health Partners	$59 - $65	1501%
Coventry	$60 - $66	1527%

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 $62.
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 Marshfield Medical Center - Beaver Dam (Mmc-Bd) 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.