CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: St Anthony Community Hospital

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $30
  • Cash Discount Price: $63
  • vs. Medicare Baseline: 7.63x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at St Anthony Community Hospital is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 7.63x the Medicare baseline. Located in 15 Maple Avenue -19, Warwick, NY.
Cash / Self-Pay
$63

Average discount available for prompt cash payment at this facility.

Insurance Median
$30

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: $63 (1603%)
Insurance Median: $30 (763%)
Cash: $63 (1603% of Medicare)
Ins. Median: $30 (763% 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 763% of the Medicare baseline (a markup of 663%). 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
Hamaspik (McR) $4 102%
Medicare (plans) $4 102%
Mvp Gold (McR) $4 102%
Affinity By Molina McR $4 102%
Tricare $4 102%
Aetna $7 - $8 178%
Cigna $8 - $44 204%
Emblem Select Care (Exchange) $10 254%
Emblem Ghi/Hip PPO $12 305%
Geisinger Health Commercial/Exchange $13 331%
Magnacare Preferred $16 407%
Mvp Exchange $17 433%
Self-Pay - Cc 30% $19 483%
Blue Cross Blue Shield $30 - $185 763%
Oxford Exchange $32 814%
Cdphp $32 814%
Self-Pay - Cc 50% $32 814%
Self-Pay $33 840%
Mvp Hmo/Ppo $33 840%
Oxford Commercial $44 1120%
UnitedHealthcare $44 1120%
PHCS $47 1196%
Multiplan $47 1196%
Emblem Ghi/Hip Hmo/Epo/Pos $50 1272%
First Health $54 1374%
Mvp $550 - $648 13995%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 15 Maple Avenue -19, Warwick, NY 10990
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals