CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Childrens Hospital of Wisconsin Fox Valley

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $20
  • Cash Discount Price: $16
  • vs. Medicare Baseline: 5.09x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Childrens Hospital of Wisconsin Fox Valley is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 5.09x the Medicare baseline. Located in 130 Second St, Neenah, WI.
Cash / Self-Pay
$16

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: $16 (407%)
Insurance Median: $20 (509%)
Cash: $16 (407% 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
Chorus Community Health Plan $4 102%
Managed Health Services $4 102%
Molina Healthcare of Wisconsin $4 102%
My Choice Wisconsin $4 102%
UnitedHealthcare $4 - $27 102%
Blue Cross Blue Shield $5 - $33 127%
Icare $5 127%
Froedtert Health $15 - $30 382%
Medical College of Wisconsin $15 - $25 382%
Aspirus Health Plan $16 - $26 407%
Common Ground Healthcare Cooperative $16 - $30 407%
Network Health Plan $16 - $25 407%
Trilogy Health Solutions $16 - $30 407%
Advocate Aurora Healthcare $17 - $27 433%
Centivo $17 - $28 433%
Employer Health Care Alliance Cooperative $17 - $28 433%
Health Partners $17 - $31 433%
Wps Health Plan $17 - $32 433%
Dean Health Plan $18 - $28 458%
Group Health Cooperative of Eau Claire $18 - $28 458%
Oan LLC $18 - $28 458%
Security Health Plan $18 - $29 458%
Aetna $19 - $31 483%
America's PPO $19 - $31 483%
Health Payment Systems $19 - $30 483%
Praire States $19 - $30 483%
Quartz Health Insurance $19 - $30 483%
Sheboygan Employer's Health Network $19 - $30 483%
Bellin Thedacare $20 - $32 509%
Cigna $20 - $32 509%
Group Health Cooperative of South Central Wisconsin $20 - $32 509%
Healthsmart $20 - $32 509%
Multiplan $20 - $33 509%
Prevea Health Network $20 - $32 509%
Coventry Health Care $21 - $33 534%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 130 Second St, Neenah, WI 54956
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens