Blood test, glucose (blood sugar)
Facility: Aurora Medical Center
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $27
- Cash Discount Price: $25
- vs. Medicare Baseline: 6.87x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
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% |
Consumer Guidance & Cost Commentary
For this blood glucose test at Aurora Medical Center in Grafton, Wisconsin, the cash price of $25 is significantly lower than the facility's gross charge of $50 and sits well below the state average of $27. This $25 cash rate represents a substantial discount compared to the facility's listed price and is notably cheaper than the median negotiated rate of $27 that commercial payers like UnitedHealthcare and Blue Cross Blue Shield pay. Because commercial insurance rates often include administrative overhead and contractual markups, patients with high-deductible plans may find paying the cash price directly more advantageous if their insurance allowed amount exceeds this amount.
While the cash price is the most favorable option shown, patients should verify if their specific plan has a negotiated rate that is even lower, as some payers may offer discounts through prompt-pay programs. It is critical to understand that commercial insurance rates are not necessarily the lowest possible prices; in this case, the cash rate of $25 is lower than the median negotiated rate of $27. To ensure you receive the best possible price, you should contact the hospital directly to confirm their "self-pay" or "prompt-pay" discount options before scheduling, as these rates can vary based on payment timing and method. Always request an itemized bill if you choose to use insurance, as summary bills can obscure individual charges, and remember that the No Surprises Act protects you from balance billing for out-of-network services at in-network facilities.