Blood test, creatinine (kidney)
Facility: Ohio Valley Surgical Hospital
Billing Code: 82565 (CPT)
- CPT Billing Code: 82565
- Insurance Median: $21,590
- Cash Discount Price: $46
- vs. Medicare Baseline: 4216.80x 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 421680% of the Medicare baseline (a markup of 421580%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $3 - $73,197 | 59% |
| UnitedHealthcare | $6 - $32,489 | 117% |
| Nippon Life | $7 - $39,629 | 137% |
| Ngs Coresource | $7 - $39,629 | 137% |
| Meritain Heatlh | $7 - $39,629 | 137% |
| Geha | $7 - $39,629 | 137% |
| Aetna | $7 - $39,629 | 137% |
| Pacific Source | $7 - $39,629 | 137% |
| Personify Health | $7 - $39,629 | 137% |
| Genworth | $7 - $39,629 | 137% |
| Meritain | $7 - $39,629 | 137% |
| Mail Handlers | $7 - $39,629 | 137% |
| Mhbp | $7 - $39,629 | 137% |
| Mmoh | $34 - $21,590 | 664% |
| Mmo Cin. HMO | $35 - $48 | 684% |
| Mmoh (Supermed) | $35 | 684% |
| Medicare (plans) | $46 - $22,279 | 898% |
| Luminare Health | $68 | 1328% |
| Preferred Health | $68 | 1328% |
| Ohio Health | $68 | 1328% |
| Medben | $68 | 1328% |
| Wraparound Pl Supp | $21,590 | 421680% |
| Central States | $21,590 | 421680% |
| Medigold | $21,590 | 421680% |
| Communicare Advantage | $21,590 | 421680% |
| Molina Dual McR | $21,590 | 421680% |
| Prosperity Supplement | $21,590 | 421680% |
| American Republic | $21,590 | 421680% |
| Cigna | $21,590 - $34,863 | 421680% |
| Molina McR | $21,590 | 421680% |
| American Continental Insurance | $21,590 | 421680% |
| Aarp Supplemental | $21,590 | 421680% |
| Champus | $21,590 | 421680% |
| Self Pay Imaging | $21,590 | 421680% |
| Molina McR+McD | $21,590 | 421680% |
| Molina Marketplace | $21,590 | 421680% |
| Molina McR McD | $21,590 | 421680% |
| Molina Dual McR | $21,590 | 421680% |
| Bankers Life and Casualty | $21,590 | 421680% |
| Aultcare Primetime Health Plan | $21,590 | 421680% |
| Gateway Health Plan | $21,590 | 421680% |
| Everest | $21,590 | 421680% |
| American Retirement | $21,590 | 421680% |
| Aarp | $21,590 | 421680% |
| Patient No Pay | $21,590 | 421680% |
| American Continental Life | $21,590 | 421680% |
| Bankers Fidelity | $21,590 | 421680% |
| Wellcare By Allwell | $21,590 | 421680% |
| Molina | $21,590 | 421680% |
| Humana | $22,605 | 441504% |
| The Health Plan | $22,670 | 442773% |
| Devoted Health | $25,995 | 507715% |
| Employer Direct | $27,489 | 536895% |
| Ushealth | $31,917 | 623379% |
| Oxford | $31,917 | 623379% |
| Surest | $31,917 | 623379% |
| Shl | $31,917 | 623379% |
| Golden Rule | $31,917 | 623379% |
| Medica | $31,917 | 623379% |
| Caresource | $32,385 | 632520% |
| Caresourse | $32,385 | 632520% |
| Medicaid / KanCare | $32,385 | 632520% |
| Samba | $34,863 | 680918% |
| Sbma | $34,863 | 680918% |
| Unified Group | $34,863 | 680918% |
| Nalc | $34,863 | 680918% |
| Healthgram | $34,863 | 680918% |