Blood test, glucose (blood sugar)
Facility: Centura St. Catherine-Dodge City
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $159
- Cash Discount Price: $97
- vs. Medicare Baseline: 40.46x 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 4046% of the Medicare baseline (a markup of 3946%). 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 |
|---|---|---|
| Aetna | $4 - $194 | 102% |
| Medicare (plans) | $4 | 102% |
| Kaiser | $4 | 102% |
| Cigna | $4 | 102% |
| Blue Cross Blue Shield | $4 - $10 | 102% |
| Humana | $4 | 102% |
| Kansas Health | $4 | 102% |
| Centura Employee Plan | $5 | 127% |
| UnitedHealthcare | $159 | 4046% |
| Wpaa | $169 | 4300% |
| Christian Health Aid | $194 | 4936% |
| Multiplan | $194 - $218 | 4936% |
| Health Partners Of Kansas | $218 | 5547% |
Consumer Guidance & Cost Commentary
For this blood glucose test at Centura St. Catherine-Dodge City, the cash median price is $97.00, which is significantly lower than the facility's negotiated rates that range from $4 to $218 depending on the insurance carrier. While many commercial payers like Aetna and Blue Cross Blue Shield have negotiated rates starting as high as $4, the cash price offers a substantial discount for those without insurance or with high-deductible plans where the insurance allowed amount might exceed the cash rate. It is important to note that while the facility is in-network for most major carriers, some rates, such as those from UnitedHealthcare and Wpaa, are fixed at $159 and $169 respectively, illustrating how negotiated contracts can vary widely even within the same hospital system.
To ensure you are not overpaying, you should request a full itemized bill rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Additionally, since the facility's cash price is well below the Medicare benchmark of $3.93 (adjusted for local wage indexes), commercial negotiated rates often represent a markup rather than a true market value. Before scheduling, verify your specific plan's deductible status and ask the registration team to classify your visit as "self-pay" to secure prompt-pay discounts, which can further reduce the final amount owed by bypassing costly insurance claims processing.