Blood test, creatinine (kidney)
Facility: Memorial Hospital Miramar
Billing Code: 82565 (CPT)
- CPT Billing Code: 82565
- Insurance Median: $132
- Cash Discount Price: $212
- vs. Medicare Baseline: 25.78x 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 2578% of the Medicare baseline (a markup of 2478%). 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 |
|---|---|---|
| Wellcare | $5 - $6 | 98% |
| Florida Community Care | $5 | 98% |
| Health Sun | $6 - $302 | 117% |
| Florida Pace Centers | $6 | 117% |
| Longevity | $6 | 117% |
| Align Senior Care | $6 | 117% |
| Aetna | $6 - $160 | 117% |
| UnitedHealthcare | $6 - $46 | 117% |
| Humana | $6 | 117% |
| Solis Health Plan | $6 | 117% |
| Sunshine | $7 - $169 | 137% |
| Avmed | $10 - $124 | 195% |
| Amerihealth Caritas | $32 - $64 | 625% |
| Community Care Plan | $35 - $69 | 684% |
| Cigna | $36 - $111 | 703% |
| Molina | $37 - $73 | 723% |
| Prime Health Services | $46 | 898% |
| Gallagher Bassett | $56 - $322 | 1094% |
| Corvel | $56 | 1094% |
| First Health | $56 | 1094% |
| Employers Choice Network | $56 | 1094% |
| Employers Health Network | $65 - $129 | 1270% |
| Emerging Therapy Solutions | $122 - $242 | 2383% |
| Star Healthcare Network | $132 - $262 | 2578% |
| Global Health Claims | $132 - $343 | 2578% |
| Quality Health Management | $132 - $262 | 2578% |
| Quebec Inc | $132 - $262 | 2578% |
| Allianz | $132 - $262 | 2578% |
| Global Reach Health | $132 - $262 | 2578% |
| Axis | $132 - $262 | 2578% |
| Worldwide Managed Care Partners | $132 - $262 | 2578% |
| National Healthcare Solutions | $132 - $262 | 2578% |
| Worldwide Medical Assurance | $132 - $262 | 2578% |
| World Medical Care | $132 - $262 | 2578% |
| Plotkin | $132 - $262 | 2578% |
| Desjardins Financial Security Life Assurance Company | $132 - $262 | 2578% |
| Global Medical Management | $132 - $262 | 2578% |
| Dimension Health | $137 - $272 | 2676% |
| Broward County | $718 - $2,726 | 14023% |