Blood test, glucose (blood sugar)
Facility: Northeast Regional Medical Center
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $83
- Cash Discount Price: $93
- vs. Medicare Baseline: 21.12x 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 2112% of the Medicare baseline (a markup of 2012%). 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 |
|---|---|---|
| Node Champva | $3 | 76% |
| Tricare | $3 | 76% |
| Node Hospice Non Par Agree | $4 | 102% |
| Blue Cross Blue Shield | $4 - $72 | 102% |
| Blue Pathway/Pathway X | $4 | 102% |
| Blue Access | $4 | 102% |
| Node Devoted Health McR Adv | $4 | 102% |
| UnitedHealthcare | $4 - $176 | 102% |
| Blue Prefrerred | $4 | 102% |
| Medicare (plans) | $4 | 102% |
| Medicaid / KanCare | $4 - $6 | 102% |
| Veterans Eval Services | $4 | 102% |
| Node VA | $4 | 102% |
| Centurion Correctional | $5 | 127% |
| Us Department of Labor | $5 | 127% |
| Naphcare | $7 | 178% |
| Home State Exchange | $7 | 178% |
| Immergrun | $8 | 204% |
| Self Pay | $56 - $129 | 1425% |
| Cigna | $80 - $92 | 2036% |
| Aetna | $87 - $196 | 2214% |
| Access Health Services, LLC | $152 | 3868% |
| Multiplan | $176 - $188 | 4478% |
| Healthlink | $176 - $188 | 4478% |
| Coventry Wc | $188 | 4784% |
Consumer Guidance & Cost Commentary
For this blood glucose test at Northeast Regional Medical Center, the most significant benchmark is that the facility's cash median rate of $93 is substantially higher than the Medicare benchmark of $3.93, reflecting a markup of 21.1 times the federal baseline. While the hospital's gross charge is listed at $234, the negotiated rates for commercial payers range from a low of $3 to a high of $196, with UnitedHealthcare and Aetna representing the widest spread at $4 to $196 and $87 to $196, respectively. Although Medicaid / KanCare and Medicare (plans) offer consistent rates of $4 to $4, the presence of Self Pay plans with a range of $92 to $129 indicates that self-payment could result in significantly higher costs depending on the specific plan selected.
Patients should be aware that cash-pay rates of $93 may sometimes be more economical than insurance negotiated rates if a payer's contracted amount exceeds the cash price, particularly for plans with high deductibles where the patient would otherwise bear the full negotiated cost. The facility, a Proprietary Acute Care Hospital in Kirksville, MO, does not list a median paid amount, suggesting that final reimbursement depends on individual plan terms and potential prompt-pay discounts. To minimize costs, consumers are advised to request a self-pay classification before scheduling and to verify the exact allowed amount with the billing department, as the wide variance in payer rates—from $3 for Node Champva and Tricare up to $196 for Aetna—means that the final out-of-pocket expense is highly dependent on the specific insurance carrier involved.