Blood test, creatinine (kidney)
Facility: Johnson Memorial Hospital
Billing Code: 82565 (CPT)
- CPT Billing Code: 82565
- Insurance Median: $11
- Cash Discount Price: $852
- vs. Medicare Baseline: 2.15x 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 $5.12 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 215% of the Medicare baseline (a markup of 115%). 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 | $5 - $250 | 98% |
| UnitedHealthcare | $5 - $250 | 98% |
| Blue Cross Blue Shield | $5 - $250 | 98% |
| Medicare (plans) | $5 - $263 | 98% |
| Harvard Pilgrim Healthcare | $5 | 98% |
| Cca Senior Care Options | $5 - $255 | 98% |
| Cigna | $5 - $257 | 98% |
| Geha | $5 | 98% |
| Centivo | $6 - $594 | 117% |
| Fallon Health | $7 - $331 | 137% |
| Connecticare | $9 - $10 | 176% |
| Luminare Health | $10 | 195% |
| Gravie Admin Services | $10 | 195% |
| Allied Benefit Systems | $10 | 195% |
| Nippon Life Ins | $10 | 195% |
| Webtpa | $10 | 195% |
| Hap | $10 | 195% |
| Meritain | $10 | 195% |
| 1199 National Benefit Fund | $10 | 195% |
| Blue Shield - Id (Regence) | $11 | 215% |
| Blue Distinction Transplant | $11 | 215% |
| Kaiser Domestic | $11 | 215% |
| Blue Shield - Ca | $11 | 215% |
| Blue Shield - Ny Highmark Western | $11 | 215% |
| Innovative Health Plan II | $11 - $535 | 215% |
| Bcn Domestic | $11 | 215% |
| Blue Shield - PA (Highmark) | $11 | 215% |
| Wc Domestic | $11 | 215% |
| Blue Benefit Administrators of Massachusetts | $11 | 215% |
| Claimdoc | $11 - $535 | 215% |
| Blue Shield - Wa (Regence) | $11 | 215% |
| Wellpoint | $11 | 215% |
| Pre-Employment | $11 | 215% |
| Health Choices | $11 | 215% |
| Blue Shield - Ny Highmark Northeastern | $11 | 215% |
| Blue Care Network | $11 | 215% |
| Unicare | $11 | 215% |
| Diversified Administrators | $11 - $535 | 215% |
| Connecticut Dept of Correction | $14 - $236 | 273% |
| Health New England | $27 | 527% |
| Health Partners | $30 | 586% |
| Allegiance | $30 | 586% |
| Magnacare | $30 | 586% |
| Prime Health Services | $33 | 645% |
| Family Life Insurance Company | $34 | 664% |
| Allied National Global Care | $34 | 664% |
| Asrm - Reliance Standard Life Insurance | $34 | 664% |
| Dean Health | $34 | 664% |
| Paramount HMO | $34 | 664% |
| Mvp | $34 | 664% |
| PHCS | $34 | 664% |
| Pai | $34 | 664% |
| Multiplan | $34 | 664% |
| Lifetime Benefit Solutions | $34 | 664% |
| Pan-American Life | $34 | 664% |
| Ghc Scw | $34 | 664% |
| Trinity Health Share | $34 | 664% |
| International Benefit Administrators | $34 | 664% |
| Medi Share | $34 | 664% |
| Christian Care Ministry | $34 | 664% |
| Manhattan Life | $34 | 664% |
| Health Smart | $35 | 684% |
| United Behavioral Health Eap | $41 | 801% |