CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Childrens Hospital of Wisconsin

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $71
  • Cash Discount Price: $49
  • vs. Medicare Baseline: 18.07x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Childrens Hospital of Wisconsin is $71. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 18.07x the Medicare baseline. Located in 9000 W Wisconsin Ave, Milwaukee, WI.
Cash / Self-Pay
$49

Average discount available for prompt cash payment at this facility.

Insurance Median
$71

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: $49 (1247%)
Insurance Median: $71 (1807%)
Cash: $49 (1247% of Medicare)
Ins. Median: $71 (1807% 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 1807% of the Medicare baseline (a markup of 1707%). 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
Chorus Community Health Plan $4 102%
Managed Health Services $4 102%
Molina Healthcare Of Wisconsin $4 102%
My Choice Wisconsin $4 102%
UnitedHealthcare $4 - $68 102%
Blue Cross Blue Shield $5 - $84 127%
Icare $5 127%
Froedtert Health $62 - $75 1578%
Medical College Of Wisconsin $62 1578%
Network Health Plan $63 1603%
Aspirus Health Plan $67 1705%
Common Ground Healthcare Cooperative $67 - $75 1705%
Trilogy Health Solutions $67 - $75 1705%
Wps Health Plan $67 - $80 1705%
Advocate Aurora Healthcare $68 1730%
Centivo $69 1756%
Health Partners $69 - $78 1756%
Employer Health Care Alliance Cooperative $70 1781%
Dean Health Plan $71 1807%
Group Health Cooperative Of Eau Claire $71 1807%
Oan Llc $71 1807%
Security Health Plan $74 1883%
Health Payment Systems $75 1908%
Praire States $75 1908%
Quartz Health Insurance $75 1908%
Sheboygan Employer'S Health Network $75 1908%
Mayo Clinic Health Solutions $77 1959%
Aetna $78 - $79 1985%
Bellin Thedacare $80 2036%
Cigna $80 2036%
Group Health Cooperative Of South Central Wisconsin $80 2036%
Prevea Health Network $80 2036%
Multiplan $81 - $84 2061%
Coventry Health Care $84 2137%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9000 W Wisconsin Ave, Milwaukee, WI 53226
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens