82947

Blood glucose (sugar) level

Medicare pricing data for 23,190 providers across 52 states

🤖AI Overview

This procedure has a 6.2x markup — hospitals charge $23.59 but Medicare allows only $3.81. Uninsured patients may face bills 6.2 times higher than what insurance negotiates. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Blood glucose (sugar) level (HCPCS code 82947) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $3.81, but hospitals typically charge $23.59 — a 6.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$0.76

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $3.81, your out-of-pocket cost would be approximately $0.76. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$3.81
Average Hospital Charge
$23.59
Markup Ratio
6.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$23.59
Medicare Allowed$3.81
Medicare Payment$3.81

Hospitals charge 6.2x more than what Medicare allows for this procedure. Medicare actually pays $3.81 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Montana$4$2150145+1.0%
Rhode Island$4$18782,159+1.0%
Puerto Rico$4$5252927+1.0%
California$4$371,567277,390+1.0%
District of Columbia$4$1429451+0.8%
Idaho$4$1581624+0.8%
Massachusetts$4$1599426,993+0.8%
New Hampshire$4$171542,786+0.8%
New York$4$241,03842,245+0.8%
North Dakota$4$2643365+0.8%
Utah$4$152701,285+0.8%
Connecticut$4$183513,319+0.8%
Delaware$4$1673377+0.5%
Georgia$4$2177020,064+0.5%
Illinois$4$2276620,326+0.5%
Indiana$4$232235,098+0.5%
Iowa$4$174406,800+0.5%
Maryland$4$152297,467+0.5%
Nebraska$4$142341,524+0.5%
New Mexico$4$29681,193+0.5%
Pennsylvania$4$176408,941+0.5%
South Dakota$4$2592707+0.5%
Virginia$4$1362016,243+0.5%
Minnesota$4$261,56619,237+0.3%
Missouri$4$235576,650+0.3%
Nevada$4$21781,283+0.3%
Oregon$4$191711,762+0.3%
South Carolina$4$1783913,602+0.3%
Colorado$4$162424,227+0.3%
Kansas$4$201565,0910.0%
Michigan$4$1362016,1200.0%
Vermont$4$211165540.0%
Florida$4$141,02962,795-0.3%
Kentucky$4$163915,728-0.3%
Louisiana$4$1422010,943-0.3%
Maine$4$1281372-0.3%
North Carolina$4$161,38454,581-0.3%
Ohio$4$1432716,222-0.3%
Texas$4$171,72745,512-0.3%
West Virginia$4$151321,285-0.3%
Alabama$4$1269429,458-0.3%
Alaska$4$4233134-0.3%
Mississippi$4$1971813,075-0.5%
Tennessee$4$1968810,926-0.5%
Wisconsin$4$416248,439-0.5%
Hawaii$4$18593,445-0.8%
Wyoming$4$1440286-0.8%
Washington$4$163495,575-1.0%
Arkansas$4$114825,669-1.3%
Arizona$4$2034910,243-1.6%
Oklahoma$4$171784,204-3.1%
New Jersey$4$1326043,505-6.6%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber