CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Community Memorial Hospital

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $20
  • Cash Discount Price: $25
  • vs. Medicare Baseline: 5.09x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Community Memorial Hospital is $20. 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 5.09x the Medicare baseline. Located in W180 N8085 Town Hall Rd, Menomonee Falls, WI.
Cash / Self-Pay
$25

Average discount available for prompt cash payment at this facility.

Insurance Median
$20

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: $20 (509%)
Cash: $25 (636% of Medicare)
Ins. Median: $20 (509% 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 509% of the Medicare baseline (a markup of 409%). 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
Aetna $4 - $34 102%
Allwell $4 102%
Blue Cross Blue Shield $4 - $20 102%
Care Wisconsin/Mychoice $4 102%
Centivo $4 - $16 102%
Community Care $4 102%
Health Partners $4 - $31 102%
Humana $4 102%
Icare $4 102%
Network Health Plan $4 - $5 102%
Security Health Plan $4 102%
UnitedHealthcare $4 - $16 102%
Sheboygan Employers Health Network $5 127%
Chorus Community Health Plan $6 - $21 153%
Froedtert South $6 - $20 153%
Common Ground $9 - $29 229%
Health Payment Systems $10 - $33 254%
Trilogy $10 - $33 254%
Wisconsin Physician Services $10 - $34 254%
Aspirus $12 - $38 305%
Ibsi Passport $12 - $39 305%
Americas Choice $13 - $42 331%
Cigna $13 - $42 331%
Federated Mutual $13 - $42 331%
First Health Network $13 - $42 331%
Healtheos $13 - $42 331%
Multiplan/Private Healthcare Systems $13 - $42 331%
Savility $13 - $42 331%
Healthsmart $14 - $43 356%
Physicians Plus $14 - $43 356%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: W180 N8085 Town Hall Rd, Menomonee Falls, WI 53051
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals