Blood test, glucose (blood sugar)
Facility: Wamego Health Center
Billing Code: 82947 (CPT)
- CPT Billing Code: 82947
- Insurance Median: $4
- Cash Discount Price: $16
- vs. Medicare Baseline: 1.02x 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.
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 |
|---|---|---|
| UnitedHealthcare | $4 | 102% |
| Medicaid / KanCare | $4 | 102% |
| Providrs Care | $4 | 102% |
| Aetna | $4 | 102% |
| Blue Cross Blue Shield | $19 - $118 | 483% |
Consumer Guidance & Cost Commentary
For the blood glucose test at Wamego Health Center, the cash price of $16.00 is significantly lower than the facility's gross charge of $40.00. This cash rate is also notably lower than the Medicare-approved amount of $3.93, which serves as the federal benchmark for this service. While Medicaid/KanCare plans have a negotiated rate of $4.00, patients with high-deductible plans may find paying the cash price upfront to be the most cost-effective option, as it avoids potential deductibles or coinsurance. It is important to note that while the facility offers a cash rate, patients should verify if their specific insurance plan has a negotiated rate that might be higher than the cash price, in which case paying out-of-pocket could result in a lower total cost.
The facility's negotiated rates vary by payer, ranging from $4.00 for Medicaid/KanCare and Aetna to a high of $118 for Blue Cross Blue Shield across six different plans. These negotiated amounts represent the maximum amounts insurance companies agree to pay, which often include administrative costs and do not reflect the actual cost of care. To ensure you are not overcharged, you should request an itemized bill before scheduling any services to confirm that all charges are accurate and that no balance billing is occurring. If you receive a bill that includes services not rendered or unbundled codes, you have the right to request a formal audit dispute to correct these errors.