CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Mon Health Medical Center

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $19
  • Cash Discount Price: $12
  • vs. Medicare Baseline: 4.83x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Mon Health Medical Center is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 4.83x the Medicare baseline. Located in 1200 Jd Anderson Drive, Morgantown, WV.
Cash / Self-Pay
$12

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

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: $12 (305%)
Insurance Median: $19 (483%)
Cash: $12 (305% of Medicare)
Ins. Median: $19 (483% 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 483% of the Medicare baseline (a markup of 383%). 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
Zelis_Other_Plan $3 76%
Aetna $4 - $19 102%
Blue Cross Blue Shield $4 - $19 102%
Gateway_Health_Plan $4 102%
Health_South_Mountain_View_Plan $4 102%
Humana $4 - $21 102%
Medicare (plans) $4 102%
Paramount_Elite_Plan $4 102%
The_Health_Plan_Peia_Plan $4 102%
Uhc_Va_Plan $4 102%
Unison_Plan $4 102%
Zelis_Group_Health_Plan $4 102%
Seven_Corners_Plan $8 204%
Maryland_Physicians_Care_Plan $16 407%
The_Health_Plan_Murray_Energy_Commercial_Aso_Plan $19 483%
The_Health_Plan_Plan $20 509%
Acpn_Plan $21 534%
Cigna $21 534%
Health_Payors_Organization_Plan $21 534%
Mon_County_Commission_Plan $21 534%
Uhc_Plan $21 534%
Multiplan_Phcs_Plan $22 560%
Mutual_Of_Omaha_Plan $22 560%
Uhc_Options_Ppo_Plan $22 560%
Geha_Plan $23 585%
Three_Rivers_Plan $23 585%
Uhc_Onenet_Ppo_Plan $23 585%
Upmc__Plan $23 585%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 Jd Anderson Drive, Morgantown, WV 26505
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals