Blood test, creatinine (kidney)
Facility: Mercy St Francis Hospital
Billing Code: 82565 (CPT)
- CPT Billing Code: 82565
- Insurance Median: $76
- Cash Discount Price: $55
- vs. Medicare Baseline: 14.84x 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 1484% of the Medicare baseline (a markup of 1384%). 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 |
|---|---|---|
| Medicaid / KanCare | $5 - $44 | 98% |
| Blue Cross Blue Shield | $5 - $81 | 98% |
| Medicare (plans) | $5 - $30 | 98% |
| UnitedHealthcare | $7 - $80 | 137% |
| Cherokee Nation Health Serv Contracted [320066] | $23 - $29 | 449% |
| Aetna | $23 - $75 | 449% |
| Indian Health Service Contracted [320198] | $23 - $29 | 449% |
| Provider Partners Health Plans Contracted [320450] | $23 - $29 | 449% |
| Cigna | $23 - $80 | 449% |
| Elara Caring Aspire Hospice [20433] | $23 - $29 | 449% |
| Pace of the Ozarks Contracted [320518] | $23 - $29 | 449% |
| Kindful Hospice Contracted [320434] | $23 - $29 | 449% |
| Humana | $23 - $76 | 449% |
| Dept of Veteran Affairs Contracted [320106] | $23 - $29 | 449% |
| Cross Timbers Hospice [20098] | $23 - $29 | 449% |
| Globalhealth Contracted [320145] | $23 - $29 | 449% |
| Mercy Mgd Behavioral Health Contracted [320259] | $23 - $29 | 449% |
| Qual Choice Contracted [320325] | $23 - $29 | 449% |
| Halo Hcr Inc Hospice [20432] | $23 - $29 | 449% |
| Medical Associates Health Contracted [320444] | $23 - $29 | 449% |
| Mercy Hospice Okc [20252] | $23 - $29 | 449% |
| Kindful Hospice [20434] | $23 - $29 | 449% |
| Acentra Health Contracted [320527] | $23 | 449% |
| Halo Hcr Inc Hospice Contracted [320432] | $23 - $29 | 449% |
| Healthscope Contracted [320182] | $29 - $38 | 566% |
| Tricare | $29 | 566% |
| Centivo Contracted [320505] | $38 - $49 | 742% |
| Administrative Payor Contracted [320005] | $38 | 742% |
| Novasys Contracted [320285] | $44 | 859% |
| Home State Health Plan Contracted [320187] | $44 | 859% |
| Ambetter / Centene | $44 | 859% |
| Healthlink Contracted [320179] | $55 - $80 | 1074% |
| Preferred Health Plan Contracted [320522] | $55 | 1074% |
| Workers Comp [20426] | $67 - $71 | 1309% |
| Mercy Benefit Admin Contracted [320251] | $76 - $80 | 1484% |
| Auxiant Contracted [320462] | $76 - $80 | 1484% |
| Point C Contracted [320238] | $76 - $80 | 1484% |
| United Medical Resources Contracted [320454] | $76 - $78 | 1484% |
| Medica Contracted [320239] | $79 | 1543% |
| Aither Health Contracted [320449] | $80 | 1563% |
| Point C [20238] | $80 | 1563% |
| Benefit Management Contracted [320052] | $80 | 1563% |
| Imagine 360 Contracted [320494] | $80 | 1563% |
| Evolutions Health Care Contracted [320124] | $80 | 1563% |
| Reflect Health Contracted [320492] | $80 | 1563% |
| Health Systems Inc Contracted [320174] | $80 | 1563% |
| First Health Contracted [320128] | $80 | 1563% |
| 90 Degree Benefits Contracted [320436] | $80 | 1563% |
| USA Managed Care Org Contracted [320429] | $80 | 1563% |
| Insurance System Inc Contracted [320465] | $80 | 1563% |
| Ebms Contracted [320493] | $80 | 1563% |
| Multiplan Contracted [320270] | $80 | 1563% |
| Yuzu Health Contracted [320521] | $80 | 1563% |
| Show-Me Health Administrators Contracted [320483] | $80 | 1563% |
| Private Health Care Systems Contracted [320320] | $80 | 1563% |
| Edison Health Solutions Contracted [320502] | $80 | 1563% |